Individual provider · Type 1 NPI
Carla Fisher Kelly, P.T.
Pediatric Physical Therapist · Mandeville, LA
Practice location
104 Oak Aly
Mandeville, LA 70471-3062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 03723 (LA) |
| Pediatric Physical Therapist | 2251P0200X | PTH4543 (AL) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1508026311
Carla Fisher Kelly, P.T.'s National Provider Identifier is 1508026311, issued on Jun 15, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Mandeville, LA. The record was last updated on Jan 24, 2012.