Kellen Scantlebury

NPI #1326477498 in Hauppauge, New York

Provider Information

NPI Number: 1326477498
Entity Type: Individual
Name: Kellen Scantlebury
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 8, 2013
Last Updated: Nov 8, 2013

Practice Location

Address: 611 OLD WILLETS PATH STE 105
City: Hauppauge
State: New York
ZIP Code: 11788-4115
Phone: (631) 232-5350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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