Individual
KELLY ELIZABETH ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
785 SE BAYSHORE DR STE 102, OAK HARBOR, WA 98277-3275
(360) 279-8323
Mailing address
1502 N COLLEGE ST, NEWBERG, OR 97132-9105
(630) 780-9208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61078998
WA
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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