Kristine Holder in O Fallon - Occupational Therapist

Kristine Holder - NPI 1629126891

Kristine Holder is a Occupational Therapist in O Fallon, Illinois. Kristine Holder practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kristine Holder is 1629126891. The last update date is 2012-09-06.

Kristine Holder's current location address is 1530 Peach Orchard Ln, O Fallon, Illinois. You can contact this provider via phone number 6186280261. The mailing address for Kristine Holder is 1530 Peach Orchard Ln, O Fallon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristine Holder
Address 1530 Peach Orchard Ln, O Fallon, Illinois
Phone Number 6186280261
Fax Number
Sole Proprietor N
Credentials OTR

NPI Number Detail

NPI Number 1629126891
Provider Enumeration Date 2007-01-06
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 1530 Peach Orchard Ln
City O Fallon
State Illinois (IL)
Post Code 622696636
Phone Number 6186280261
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 056-007501
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1415008 IL BCBS OF IL
5330619 AETNA

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FAQs about Kristine Holder

What is the unique identifier code issued to Kristine Holder by the Centers for Medicare & Medicaid Services (CMS)?

The Kristine Holder has been assigned the NPI (National Provider Identifier) 1629126891. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kristine Holder's facilities are geographically located?

The facilities of Kristine Holder are physically situated at the following location: 1530 Peach Orchard Ln, O Fallon, IL, 622696636.

What is Kristine Holder's area of expertise and its corresponding taxonomy classification?

The Kristine Holder's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629126891 to Kristine Holder?

The Centers for Medicare & Medicaid Services originally issued the 1629126891 to Kristine Holder on 2007-01-06.

As of what date were the details pertaining to Kristine Holder last refreshed?

The information related to the Kristine Holder, including its address, specialty, and other relevant details, was last updated on 2012-09-06.

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