Individual
MISS KAITLIN MARIE CHILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(618) 841-7444
Mailing address
389 CORISANDE HILLS RD, APT 1, FENTON, MO 63026-5668
(618) 841-7444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011031619
MO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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