Individual
KATE EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 FRANK SCOTT PKWY W STE 824, BELLEVILLE, IL 62223-5007
(618) 234-9705
Mailing address
520 BURROUGHS AVE, COLLINSVILLE, IL 62234-3513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003537
IL
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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