Individual
KELLY JO MARIE DOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
808 HANNAH ST, HOUTZDALE, PA 16651-1241
(814) 378-3688
Mailing address
808 HANNAH ST, HOUTZDALE, PA 16651-1241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004478
PA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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