Individual
SAMUEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1411 WOODBOURNE RD STE B, LEVITTOWN, PA 19057-1540
(267) 630-5740
(267) 630-5741
Mailing address
120 W GERMANTOWN PIKE STE 100, PLYMOUTH MEETING, PA 19462-1420
(610) 270-0370
(610) 270-0374
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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