Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KELLY, PT
ActiveMARY KELLY, PT is a Pediatric Occupational Therapy healthcare provider located in ST CHARLES, Illinois. NPI 1073590212 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · ST CHARLES, IL
Registration Details
- NPI Number
- 1073590212
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2005 (20.657041018329 yrs)
- Last Updated
- Jun 15, 2022
- License
-
070-011761 (IL)
Practice Information
- Address
-
3381 W MAIN ST STE 1ST CHARLES, IL, 601751008Browse IL providers · Browse ZIP 60175
- Phone
- 6305490511
- Fax
- 6305490512
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Other Pediatric Occupational Therapy Providers in ST CHARLES, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. HOLLY LYNNE TIMMRECK | PT, DPT | 1780857664 |
| KRUPA R VARGHESE | — | 1437020179 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.