Individual
KELLY LYNN VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27 BROOKEBURY DR APT B1, REISTERSTOWN, MD 21136-2937
(410) 905-7253
Mailing address
27 BROOKEBURY DR APT B1, REISTERSTOWN, MD 21136-2937
(410) 905-7253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A 3421
MD
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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