Individual provider · Type 1 NPI

Melanie Kornblum, OTR/L

Occupational Therapist · Ballwin, MO

NPI number 1003411364 Active

Practice location

1 Meramec Bluffs Dr
Ballwin, MO 63021-3309

Mailing address

59 Christina Dr
Pevely, MO 63070-1645

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2014001334 (MO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003411364

Melanie Kornblum, OTR/L's National Provider Identifier is 1003411364, issued on Dec 3, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ballwin, MO. The record was last updated on Dec 3, 2020.