Individual
KELLY LYNN BARDOSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 N GREEN BAY RD STE 150, RACINE, WI 53404-1416
(262) 321-7164
(262) 314-6051
Mailing address
3920 N GREEN BAY RD STE 150, RACINE, WI 53404-1416
(262) 321-7164
(262) 314-6051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10456-024
WI
Other
Enumeration date
11/28/2011
Last updated
04/13/2021
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