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NPI Code Detail

MEDICARE: HILLARIE CHRISTLEY

MEDICARE: HILLARIE CHRISTLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2009006265MO

General Provider Information

NPI Number : 1518295773
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILLARIE CHRISTLEY
Provider Business Mailing Address
First Line : 16421 FOREST PINE DR.
Second Line :
City : WILDWOOD
State : MO
Zip : 63011
Country : US
Telephone Number : 636-751-2230
Fax Number :
Provider Business Practice Location Address
First Line : 6400 THE CEDARS CT
Second Line :
City : CEDAR HILL
State : MO
Zip : 63016-2220
Country : US
Telephone Number : 636-751-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2009
Last Update Date : 11/30/2009

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Directions to “ HILLARIE CHRISTLEY ” Practice Location

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