Whalio Doctors

NPI 1013455542

Thomas B Kelly

Practitioner Physical Therapy Assistant La Mesa, CA

Practice location

Address
5905 Severin Dr, La Mesa, CA 91942-3806
Phone
(619) 589-2606
Fax
(619) 464-0900

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5569 (CA)

Registry record

NPI
1013455542
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Feb 2017
Record last updated
3 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.