Mary Kelly, PT
NPI #1073590212 in St Charles, Illinois
Provider Information
- NPI Number
- 1073590212
- Entity Type
- Individual
- Name
- Mary Kelly, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Pediatrics
- Credential
- PT
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Jun 15, 2022
Practice Location
- Address
- 3381 W MAIN ST STE 1
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60175-1008
- Phone
- (630) 549-0511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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