Individual
CATHERINE A BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
21519 TIMBER LN, MOUNT OLIVE, IL 62069-2425
(618) 581-6728
Mailing address
21519 TIMBER LN, MOUNT OLIVE, IL 62069-2425
(618) 581-6728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008559
IL
Other
Enumeration date
12/10/2017
Last updated
12/10/2017
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