Individual
MRS. CHRISTA D KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1719 CLAWSON ST, ALTON, IL 62002-4702
(618) 462-1133
(618) 462-3736
Mailing address
1719 CLAWSON ST, ALTON, IL 62002-4702
(618) 462-1133
(618) 462-3736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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