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Individual

KELLY O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
785 PIMLICO DR, FLORISSANT, MO 63033-3524

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013004050
MO
225100000X
Physical Therapist
PT011067
GA

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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