Individual
KATHRYN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
17 RIVERSIDE DR, TIVERTON, RI 02878-4317
(571) 278-4320
Mailing address
17 RIVERSIDE DR, TIVERTON, RI 02878-4317
(571) 278-4320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
025270
PA
225100000X
Physical Therapist
Primary
02982
RI
225100000X
Physical Therapist
2305204799
VA
Other
Enumeration date
03/05/2012
Last updated
05/08/2017
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