Individual
MR. GREGORY EDWARD SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2086 VADALABENE DR, MARYVILLE, IL 62062-5631
(618) 288-7150
Mailing address
40 COUGAR DR, APT B, GLEN CARBON, IL 62034-2926
(618) 559-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018626
IL
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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