Individual
MRS. KELLY ANN FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
35 VILLA SHOPPING CTR, NEW MADRID, MO 63869-1230
(573) 621-3126
Mailing address
630 KNOLLSHIRE WAY, DARDENNE PRAIRIE, MO 63368-8376
(636) 695-4330
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2005028265
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
2005028265
MO
Other
Enumeration date
01/14/2017
Last updated
09/11/2024
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