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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KISCHA MOTON

Active

Occupational Therapy Assistant · EAST SAINT LOUIS, IL

Registration Details

NPI Number
1326309774
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2012 (13.931394949055 yrs)
Last Updated
Jun 1, 2012
Licenses
057003075 (IL)
2009012937 (MO)

Practice Information

Address
3019 LINCOLN AVE
EAST SAINT LOUIS, IL, 622041110
Browse IL providers · Browse ZIP 62204
Phone
6185816638
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in EAST SAINT LOUIS, IL

Name Credential NPI
ROBERT LYLE SWANSON COTA/L 1821359324
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.