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1003411364
MELANIE KORNBLUM
BALLWIN, MO
NPI
1003411364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2014001334)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
Mrs. MELANIE KORNBLUM OTR/L
1 MERAMEC BLUFFS DR
BALLWIN, MO 63021-3309
Phone number: 636-861-0600
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Mailing Address
Mrs. MELANIE KORNBLUM OTR/L
59 CHRISTINA DR
PEVELY, MO 63070-1645
Phone number: 314-769-2659
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