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NPI Code Detail

MEDICARE: KELSEY BELLANCA PT, DPT

MEDICARE:   KELSEY  BELLANCA  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT025772PA
2225100000XPhysical Therapist27287MD

General Provider Information

NPI Number : 1841738317
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY BELLANCA PT, DPT
Provider Business Mailing Address
First Line : 350 NEW FIDELITY CT
Second Line :
City : GARNER
State : NC
Zip : 27529-2665
Country : US
Telephone Number : 919-258-2714
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 31 MAGOTHY BEACH RD STE 105
Second Line :
City : PASADENA
State : MD
Zip : 21122-4423
Country : US
Telephone Number : 410-437-3333
Fax Number : 410-437-4042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 12/10/2018

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Directions to “ KELSEY BELLANCA PT, DPT” Practice Location

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