Individual
KELSEY LEE VAGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0390
Mailing address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
JT-0000689
DE
Other
Enumeration date
01/12/2008
Last updated
01/12/2008
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