Individual
MRS. KELLY MARIE MONNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
512 CRESCENT DR, TROY, OH 45373-2718
(937) 335-7161
Mailing address
3670 RUSSIA HOUSTON RD, RUSSIA, OH 45363-9735
(937) 295-5240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-05276
OH
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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