Individual
MRS. KRISTINA MICHELE KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 COPPER CREEK RD, MARYVILLE, IL 62062-5614
(618) 288-1497
Mailing address
2404 COPPER CREEK RD, MARYVILLE, IL 62062-5614
(618) 288-1497
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
09/21/2009
Last updated
08/27/2023
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