Kelsey Lake, DPT

NPI #1134675119 in Orange Park, Florida

Provider Information

NPI Number: 1134675119
Entity Type: Individual
Name: Kelsey Lake, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 30, 2016
Last Updated: Nov 10, 2021

Practice Location

Address: 784 BLANDING BLVD STE 108
City: Orange Park
State: Florida
ZIP Code: 32065-7724
Phone: (904) 264-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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