Individual
MRS. KATIE E. ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
868 W. MAIN ST, STEELVILLE, MO 65565
(576) 775-2099
Mailing address
868 WEST MAIN STREET, STEELVILLE, MO 65565
(576) 775-2099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001016604
MO
Other
Enumeration date
11/05/2007
Last updated
11/29/2011
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