Individual
KELSI REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7819 WAYNETOWNE BLVD, DAYTON, OH 45424-2063
(937) 938-1583
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012979
OH
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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