Individual
PHYLLIS ANNETTE KELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9035 BRYAN DAIRY RD, LARGO, FL 33777-1104
(727) 395-9619
Mailing address
9035 BRYAN DAIRY RD, LARGO, FL 33777-1104
(727) 395-9619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21824
FL
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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