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1497848485
MATTHEW S KELLY
PLAINFIELD, IL
NPI
1497848485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070015030)
Enumeration Date
2006-10-02
Last Update Date
2007-10-19
Business Address
-- MATTHEW S KELLY PT
23915 W MAIN ST SUITES A&B
PLAINFIELD, IL 60544-1967
Phone number: 815-609-0570
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Mailing Address
-- MATTHEW S KELLY PT
28610 425 E ST
TAMPICO, IL 61283-9137
Phone number:
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