Most Relevant Information
Provider Data
| NPI Number: | 1003177684 |
| Provider Name: | KAITLIN MARIE CHILMAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2011031619 |
Most Important Dates
| Enumeration Date: | 05/31/2012 |
| Last Updated: | 05/31/2012 |
Provider Practice Location
3625 MAGNOLIA AVE
SAINT LOUIS
MO
631104048
Practice Location Phone/Fax
| Phone: | 6188417444 |
| Fax: |
Provider Mailing Location
389 CORISANDE HILLS RD
APT 1
FENTON
MO
630265668
Provider Mailing Phone/Fax
| Phone: | 6188417444 |
| Fax: |