Individual
KELSEY MARIE OSTERHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 STRASSNER DR, BRENTWOOD, MO 63144-1873
(314) 918-1369
Mailing address
1314 STRASSNER DR, BRENTWOOD, MO 63144-1873
(314) 918-1369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2019021490
MO
235Z00000X
Speech-Language Pathologist
242005387
IL
235Z00000X
Speech-Language Pathologist
Primary
46003584A
IN
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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