Individual provider · Type 1 NPI

Miranda Koesterer, OTR/L

Occupational Therapist · O Fallon, IL

NPI number 1659909950 Active

Practice location

844 Cambridge Blvd
O Fallon, IL 62269-1976

Call (618) 624-9900 Map

Mailing address

2340 Parkland Blvd Apt 15
Shiloh, IL 62269-7369

Other practice locations

  • 20 Junction Dr W Ste 4, Glen Carbon, IL 62034-3060 · (618) 288-8020

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X2020009519 (MO)
Occupational Therapist Primary 225X00000X056.013548 (IL)

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…

4 other providers at this address

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About NPI 1659909950

Miranda Koesterer, OTR/L's National Provider Identifier is 1659909950, issued on Mar 31, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in O Fallon, IL. The record was last updated on Mar 31, 2020.