Individual
KRISTIN M GEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2422 BEN HOGAN DR, BELLEVILLE, IL 62220-4894
(618) 416-1915
Mailing address
2422 BEN HOGAN DR, BELLEVILLE, IL 62220-4894
(618) 416-1915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008339
IL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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