Individual
KELLY FALLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1010 STE GENEVIEVE DR, SAINTE GENEVIEVE, MO 63670-1447
(573) 883-6350
Mailing address
8821 US HIGHWAY 61, SAINTE GENEVIEVE, MO 63670-8563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000163364
MO
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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