Individual
MEAGAN KALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 463-5171
Mailing address
1 SAINT ANTHONYS WAY, ALTON, IL 62002-4568
(618) 463-5171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.008611
IL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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