Individual
MRS. KELLY LOUISE WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1170 TIMBER RUN DR, SAINT LOUIS, MO 63146-4482
(314) 469-0606
(314) 469-3294
Mailing address
41 PRESIDENT DR, O FALLON, MO 63368-8526
(636) 329-0156
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2003016153
MO
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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