Individual
KELLY ANNE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
1501 OLD SHELL RD, MOBILE, AL 36604-2226
(251) 445-2925
Mailing address
2175 SCHILLINGER RD S APT 820, MOBILE, AL 36695-6003
(601) 757-2749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA7694
AL
2255A2300X
Athletic Trainer
Primary
1756
AL
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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