Individual
KELLY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 826-2121
Mailing address
9009 BAYVIEW COVE DR, HOUSTON, TX 77054-1034
(832) 858-8501
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1150271
TX
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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