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Individual

MELISSA DARLENE MCKAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
708 SAINT LOUIS ST, EDWARDSVILLE, IL 62025-1427
(618) 656-1182
Mailing address
7836 SUN RIDGE CT, EDWARDSVILLE, IL 62025-6464
(314) 650-7005

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004022512
MO
225XP0200X
Pediatric Occupational Therapist
2004022512
MO

Other

Enumeration date
06/28/2007
Last updated
10/03/2022
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