| Doctor Name: | KELLIE ANN STANLEY |
| NPI Number: | 1104013549 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 05678 |
| Business Practice Address: | 3465 Box Hill Corporate Center Dr Ste G Abingdon, MD - 210091261 |
| Business Phone Number: | 4105694806 |
| Business Fax Number: | 4105685474 |
| Mailing Address: | 1812 Marsh Rd, Store 505 WILMINGTON |
| State: | DE |
| Postal Code: | 198104581 |
| Phone Number: | 3027930432 |
| Fax Number: | 3027930400 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 05678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |