Individual
MRS. DANILE JORDAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8 N MEAD ST, CHARLESTOWN, MA 02129-1446
(707) 357-3527
Mailing address
8 N MEAD ST, BOSTON, MA 02129-1446
(617) 388-1418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16279
MA
Other
Enumeration date
07/24/2007
Last updated
06/07/2012
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