Kelsea Jordan Homan, PT, DPT

NPI #1205310786 in Ceres, California

Provider Information

NPI Number: 1205310786
Entity Type: Individual
Name: Kelsea Jordan Homan, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Sep 20, 2018
Last Updated: Oct 8, 2020

Practice Location

Address: 2908 E WHITMORE AVE STE E
City: Ceres
State: California
ZIP Code: 95307-2800
Phone: (209) 622-4149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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