Gary L Kelly is a Physical Therapist in Tarzana, California. Gary L Kelly practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gary L Kelly is 1134100126. The last update date is 2007-07-08.
Gary L Kelly's current location address is 19510 Ventura Blvd, Tarzana, California. You can contact this provider via phone number 8189961725 and fax number 8189960210. The mailing address for Gary L Kelly is 19510 Ventura Blvd, Tarzana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Kelly |
|---|---|
| Address | 19510 Ventura Blvd, Tarzana, California |
| Phone Number | 8189961725 |
| Fax Number | 8189960210 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1134100126 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19510 Ventura Blvd |
|---|---|
| City | Tarzana |
| State | California (CA) |
| Post Code | 91356 |
| Phone Number | 8189961725 |
| Fax Number | 8189960210 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT7963 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Where is the Gary L Kelly located?
The Gary L Kelly is located at 19510 Ventura Blvd, Tarzana, CA 91356.
Could you please provide the complete physical location address of Gary L Kelly?
The Gary L Kelly is physically situated at 19510 Ventura Blvd, in the city of Tarzana, state of CA, with the postal code 91356.
What is the Gary L Kelly's specialty and taxonomy code?
The Gary L Kelly's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
When was the Gary L Kelly's 1134100126 issued?
The Gary L Kelly's 1134100126 was issued on 2005-11-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1134100126 to Gary L Kelly?
The Gary L Kelly received its 1134100126 assignment from the Centers for Medicare & Medicaid Services on 2005-11-08.
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