Individual
MRS. KELLI JENKINS DEHELEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-2950
Mailing address
1151 CALLS CREEK CIR, WATKINSVILLE, GA 30677-2571
(706) 310-0198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006101
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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