Decker, Kelly

Decker, Kelly is an individual health care provider with primary practice located at 3461 Civic Center Blvd , Philadelphia PA 19104-4302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Decker, Kelly can be contacted via phone (215) 823-4507.

Contact Information

Primary practice address
3461 Civic Center Blvd Philadelphia PA 19104-4302
Phone: (215) 823-4507
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X Pennsylvania

Profile Details

NPI number 1861191066
LBN Legal business name Decker, Kelly
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2023
Last updated May 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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