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Individual

ALYSSA KELLY

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
2847 CRESTON LN, MARYLAND HEIGHTS, MO 63043-1230

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
2023004456
MO

Other

Enumeration date
02/09/2023
Last updated
02/09/2023
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