Whalio Doctors

NPI 1023228913

Eric Kelly

Practitioner Physical Therapy Assistant Manchester, CT

Practice location

Address
349 Bidwell St, Manchester, CT 06040-6471
Phone
(860) 647-9191
Fax
(860) 643-6147
Mailing address
4 Theresa St, East Longmeadow, MA 01028-1239

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 000275 (CT)

Registry record

NPI
1023228913
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2007
Record last updated
8 Jul 2007

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.