Individual
JACQUELINE SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N 10TH ST, MASCOUTAH, IL 62258-1017
(618) 566-8195
Mailing address
11628 FRANCETTA LN, SAINT LOUIS, MO 63138-1719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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