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1407402977
KELLY LEWEY
O FALLON, IL
NPI
1407402977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070009683)
Enumeration Date
2019-08-12
Last Update Date
2019-08-12
Business Address
KELLY LEWEY PT
844 CAMBRIDGE BLVD
O FALLON, IL 62269-1976
Phone number: 618-242-3742
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Mailing Address
KELLY LEWEY PT
10 HICKORY HILL LN UNIT B
GLEN CARBON, IL 62034-1602
Phone number: 618-531-7958
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