NPI 1003411364
Melanie Kornblum, OTRL
Practice location
- Address
- 1 Meramec Bluffs Dr, Ballwin, MO 63021-3309
- Phone
- (636) 861-0600
- Mailing address
- 59 Christina Dr, Pevely, MO 63070-1645
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003411364
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Dec 2020
- Record last updated
- 3 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.