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Mary Kelly, PT
Pediatric Physical Therapist in St Charles, Illinois
NPI 1073590212

Mary Kelly is a Pediatric Physical Therapist based in St Charles, IL and is specialized in Pediatrics. Mary Kelly practices in St Charles, IL and has the professional credentials of PT. The NPI Number for Mary Kelly is 1073590212 and holds a License No. 070-011761 (Illinois).

The current practice location address for Mary Kelly is 3381 W Main St Ste 1, St Charles, IL and can be reached out via phone at 630-549-0511 and via fax at 630-549-0512. You can also correspond with Mary Kelly through the mailing address at 3381 W MAIN ST STE 1, ST CHARLES, IL - 60175-1008 (mailing address contact number: 630-549-0511).

Location: 3381 W Main St Ste 1, St Charles, IL, 60175-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073590212
Provider Name
Mary Kelly
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3381 W Main St Ste 1, St Charles, IL, 60175-1008
Phone Number
630-549-0511
Fax Number
630-549-0512
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3381 W Main St Ste 1
City
St Charles
State
Illinois
Zip
60175-1008
Phone Number
630-549-0511
Fax Number
630-549-0512
person
Provider Business Mailing Address Details
Address
3381 W Main St Ste 1
City
St Charles
State
Illinois
Zip
60175-1008
Phone Number
630-549-0511
Fax Number
630-549-0512
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
070-011761 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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