Individual
MRS. JESSICA MARIE KELLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2270 WARRENSBURG RD, DELAWARE, OH 43015-1336
(740) 369-9614
(740) 363-5881
Mailing address
638 VILLAGE MILL DR, SUNBURY, OH 43074-9393
(740) 965-1737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-10744
OH
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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