Individual
CLAIRE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL PLZ FL 5, LAKE ST LOUIS, MO 63367-1366
(636) 755-6500
Mailing address
205 BROOKSTONE CREEK DR, WENTZVILLE, MO 63385-5600
(314) 642-0155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008033447
MO
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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