Koesterer, Miranda

Koesterer, Miranda is an individual health care provider with primary practice located at 844 Cambridge Blvd , O Fallon IL 62269-1976. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Koesterer, Miranda can be contacted via phone (618) 624-9900.

Contact Information

Primary practice address
844 Cambridge Blvd O Fallon IL 62269-1976
Phone: (618) 624-9900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2020009519 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 056.013548 Illinois

Profile Details

NPI number 1659909950
LBN Legal business name Koesterer, Miranda
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Mar 31st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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