Individual
DANIELLE ROSE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17270 SE 109TH TERRACE RD, SUMMERFIELD, FL 34491-9015
(352) 336-6000
Mailing address
21756 STATE ROAD 54, STE 102, LUTZ, FL 33549-2905
(352) 336-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
871577
DC
225100000X
Physical Therapist
PT27591
FL
225100000X
Physical Therapist
Primary
PT35625
FL
Other
Enumeration date
11/15/2012
Last updated
03/03/2022
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