Kelly, Tina

Kelly, Tina is an sole proprietor health care provider with primary practice located at 21 Brittany Blvd , Marlton NJ 08053-5513. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kelly, Tina can be contacted via phone (215) 622-6526.

Contact Information

Primary practice address
21 Brittany Blvd Marlton NJ 08053-5513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OC011304 Pennsylvania

Profile Details

NPI number 1073066908
LBN Legal business name Kelly, Tina
Credentials MS, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2016
Last updated Jul 27th, 2016 - about 8 years ago

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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