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1881088573
KELLY MALLOY
CHICAGO, IL
NPI
1881088573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IL 070021220)
Enumeration Date
2015-03-20
Last Update Date
2015-03-20
Business Address
-- KELLY MALLOY
811 W EVERGREEN AVE SUITE 306
CHICAGO, IL 60642-2682
Phone number: 312-242-1665
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Mailing Address
-- KELLY MALLOY
10016 OLCOTT AVE
SAINT JOHN, IN 46373-9547
Phone number:
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