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

MS. LESA KELLY KLOSTERHOFF, PT

Active Sole Proprietor

MS. LESA KELLY KLOSTERHOFF, PT is a Pediatric Occupational Therapy healthcare provider located in ULLIN, Illinois. NPI 1457489940 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · ULLIN, IL

Registration Details

NPI Number
1457489940
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2007 (19.443495559757 yrs)
Last Updated
Jul 8, 2007
License
01396 (MO)
Sole Proprietor
Yes

Practice Information

Address
770 LONG REACH RD
ULLIN, IL, 629922250
Browse IL providers · Browse ZIP 62992
Phone
6188459362
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
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.