Individual
KELLIE FAYE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3380 E MAIN ST, DANVILLE, IN 46122-9089
(317) 718-0089
Mailing address
393 TURNBERRY CT, AVON, IN 46123-8400
(317) 507-2617
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05009258A
IN
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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