Justin Kelly, PTA

NPI #1841676806 in Willow Springs, Illinois

Provider Information

NPI Number: 1841676806
Entity Type: Individual
Name: Justin Kelly, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 31, 2015
Last Updated: Aug 4, 2015

Practice Location

Address: 8434 CORCORAN RD
City: Willow Springs
State: Illinois
ZIP Code: 60480-1666
Phone: (708) 467-0657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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