| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DYLAN L KELLY | 1295346419 | 2020-08-11 |
Dylan L Kelly [M] graduated in 2020 and primarily specializes in Physical Therapy.
Dylan L Kelly is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295346419. Registration indicates Dylan L Kelly is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist: Orthopedic, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Physical Therapist, )
| PECOS ID | 3375962830 |
| Entity Type | Individual |
| Provider Name | Dylan L Kelly DPT |
| Practice Office Address | 4572 TELEPHONE RD STE 903 VENTURA, CA US |
| Practice Office Telephone | 8056548127 |
| Practice Office Fax | 8056548149 |
| Mailing Address | 4572 TELEPHONE RD STE 903 VENTURA, CA 930035663 US |
| Business Telephone | 8056548127 |
| Business Fax | 8056548149 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2603 Patterson Rd Ste 8 | Riverbank, CA 953673407 | 2098961870 |
| 146 N Maag Ave Ste B | Oakdale, CA 953612249 | 2093222140 |
| CONNECT URL [] | https://venturaortho.com/ |
| Code | Practice | License No State |
|---|---|---|
| 2251X0800X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist: Orthopedic Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Orthopedic Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | 298744
CA |
| 298744 | OTHER | CA | STATE LICENSE |