Kelly Marie Connolly

NPI #1316239890 in Oak Lawn, Illinois

Provider Information

NPI Number: 1316239890
Entity Type: Individual
Name: Kelly Marie Connolly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 10416 S TRIPP AVE
City: Oak Lawn
State: Illinois
ZIP Code: 60453-4854
Phone: (708) 634-2703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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