Individual
DR. KELLY MAUREEN DEEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
16020 SWINGLEY RIDGE RD STE 130, CHESTERFIELD, MO 63017-2085
(618) 581-3977
Mailing address
63 LONG BRANCH LN, CASEYVILLE, IL 62232-2854
(618) 581-3977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056006939
IL
225X00000X
Occupational Therapist
Primary
2003023377
MO
Other
Enumeration date
02/12/2007
Last updated
07/29/2019
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