Individual
MRS. MELANIE KORNBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
(636) 861-0600
Mailing address
59 CHRISTINA DR, PEVELY, MO 63070-1645
(314) 769-2659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014001334
MO
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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