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1124402045
KELLY KALLAOS
SAINT LOUIS, MO
NPI
1124402045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 004244)
Enumeration Date
2015-07-10
Last Update Date
2015-07-10
Business Address
-- KELLY KALLAOS OTR/L
5000 S BROADWAY
SAINT LOUIS, MO 63111-2015
Phone number: 314-603-8645
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Mailing Address
-- KELLY KALLAOS OTR/L
5332 CASA ROYALE DR
SAINT LOUIS, MO 63129-3007
Phone number: 314-487-2015
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