Most Relevant Information
Provider Data
| NPI Number: | 1003306291 |
| Provider Name: | KELSEY LAUREN MAKOUL DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/14/2018 |
| Last Updated: | 05/14/2018 |
Provider Practice Location
634 OLD YORK RD
JENKINTOWN
PA
190462811
Practice Location Phone/Fax
| Phone: | 2158819181 |
| Fax: | 2158819212 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |