Individual
EMILY NICOLE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
634 N MAIN ST STE 1, O FALLON, IL 62269-3746
(618) 690-0068
Mailing address
4809 KAREN LN, GRANITE CITY, IL 62040-2687
(618) 830-7154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009184
IL
225X00000X
Occupational Therapist
2012036144
MO
Other
Enumeration date
10/23/2012
Last updated
09/14/2016
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