Individual
KELLY ANN STORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409
(937) 208-3078
Mailing address
1690 PIPER LN #102, CENTERVILLE, OH 45440
(937) 248-9027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10520
OH
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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