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Individual

VIJAYA KRISHNAMOORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(186) 631-4394
Mailing address
2800 CRESTFIELD CT, NAPERVILLE, IL 60565-3043
(630) 416-7939

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005466
IL

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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