Individual
CARLA RUTHANN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2855 MILLER DR, SUITE 105, PLYMOUTH, IN 46563-8091
(574) 941-1055
(574) 941-1083
Mailing address
2855 MILLER DR, SUITE 105, PLYMOUTH, IN 46563-8091
(574) 941-1055
(574) 941-1083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003766A
IN
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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