Individual
KELLY MICHELE MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5102
Mailing address
1995 PROCTOR RD, MOSIER, OR 97040-9752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4009
OR
Other
Enumeration date
08/10/2007
Last updated
01/24/2014
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