Individual
MS. KELI ANN HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 SAINT MARYS DR, EDWARDSVILLE, IL 62025-4276
(619) 692-1330
Mailing address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007256
IL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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