KYLE BLIEVERNICHT, MOT

Occupational Therapist

Active Individual
NPI: 1154970721

Practice Address

4955 S STATE ROUTE 159 STE B
Glen Carbon, IL 62034

Phone: (618) 288-4677

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes -

Frequently Asked Questions

NPI 1154970721 is the National Provider Identifier for KYLE BLIEVERNICHT, MOT, a Occupational Therapist provider located in Glen Carbon, IL. This NPI was enumerated on September 6, 2019.
KYLE BLIEVERNICHT, MOT practices at 4955 S STATE ROUTE 159 STE B, Glen Carbon, IL 62034.

Quick Facts

NPI
1154970721
Type
Individual
Enumerated
Sep 6, 2019
Last Updated
Sep 6, 2019

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