Individual
KATIE TICHICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
13550 S OUTER 40 RD, CHESTERFIELD, MO 63017-5812
(314) 878-1330
Mailing address
13550 S OUTER 40 RD, CHESTERFIELD, MO 63017-5812
(314) 878-1330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01753
IA
225X00000X
Occupational Therapist
102321
MN
225X00000X
Occupational Therapist
Primary
2008025393
MO
225X00000X
Occupational Therapist
3725-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040028
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
03/17/2015
Last updated
03/17/2015
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