Individual
CORY J KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8747 BIG BEND BLVD, SAINT LOUIS, MO 63119-3729
(314) 968-4044
(314) 963-0787
Mailing address
8747 BIG BEND BLVD, SAINT LOUIS, MO 63119-3729
(314) 968-4044
(314) 963-0787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001003878
MO
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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