Individual
MIKAELA HERSCHELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, OTR/L
Contact information
Practice address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Mailing address
16216 BAXTER RD STE 330, CHESTERFIELD, MO 63017-4778
(636) 733-3330
(636) 733-3332
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2010012215
MO
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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