Organization
MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE ANN RODEMICH OTR (OCCUPATIONAL THERAPIST)
(618) 281-7457
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5238
Mailing address
12 JUSTIN DR, COLUMBIA, IL 62236-1981
(618) 281-7457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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