Individual
TERESA MARY KAELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3291 W. RIDGE RUN, SPRINGFIELD, MO 65810
(417) 883-1185
Mailing address
3291 W. RIDGE RUN, SPRINGFIELD, MN 65810
(417) 883-1185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003007816
MO
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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