MIRANDA KOESTERER

O FALLON, IL
NPI1659909950
Former NameMIRANDA PAULUS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.013548)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  2020009519)
Enumeration Date2020-03-31
Last Update Date2020-03-31
Business Address
MIRANDA KOESTERER OTR/L
844 CAMBRIDGE BLVD
O FALLON, IL 62269-1976
Phone number: 618-624-9900
Mailing Address
MIRANDA KOESTERER OTR/L
2340 PARKLAND BLVD APT 15
SHILOH, IL 62269-7369
Phone number: 567-644-5678