Individual
MRS. KRISTINE ELIZABETH HETTENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
509 HADDINGTON LN, O FALLON, IL 62269-4242
(618) 632-3234
Mailing address
509 HADDINGTON LN, O FALLON, IL 62269-4242
(618) 632-3234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-005370
IL
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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