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Contact Information

JENNIFER L KELLY, MSPT
3455 W PENN ST
PHILADELPHIA, PA19129-1438
 Phone: 610-368-8390
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER L KELLY · (Female)

NPI Number 1013083203
Status Active
Credentials MSPT (Master of Science in Physical Therapy)
Entity Individual
Enumeration date 11/28/2006
Last updated 03/26/2016 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PT013908L
  • PA Other PT013908L PHYSICAL THERAPIST LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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