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1528013265
KELLY L JOHNSTON
ST LOUIS, MO
NPI
1528013265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
(Licence: MO 2002018240)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
MRS. KELLY L JOHNSTON MPT
1050 OLD DES PERES RD SUITE 40
ST LOUIS, MO 63131
Phone number: 314-821-0200
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Mailing Address
MRS. KELLY L JOHNSTON MPT
3868 MEXICO RD
ST CHARLES, MO 63303
Phone number: 636-926-0408
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