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Individual

KELLI WALKINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1022 E WESLEY DR, O FALLON, IL 62269-6107
(618) 744-6613
Mailing address
871 CALISTA RIDGE DR, BELLEVILLE, IL 62221-8303
(618) 781-8260

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002655
IL

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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