Individual
MICHELLE KILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 HAMACHER ST, WATERLOO, IL 62298-1786
(618) 939-3488
Mailing address
126 KIMBERLY CT, COLLINSVILLE, IL 62234-5542
(618) 954-9290
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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