KELLY RANDELL

SAINT LOUIS, MO
NPI1376935791
Former NameKELLY CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  117058)
Enumeration Date2015-02-22
Last Update Date2015-02-22
Business Address
-- KELLY RANDELL PTA
11960 WESTLINE INDUSTRIAL DR SUITE 201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
Mailing Address
-- KELLY RANDELL PTA
11960 WESTLINE INDUSTRIAL DR SUITE 201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
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