Individual
MS. KATY E KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 447-3136
Mailing address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 447-3136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001098
CT
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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