Mrs. Melanie Kornblum
Occupational Therapist
1 Meramec Bluffs Dr
Ballwin
, Missouri 63021-3309
Mrs. Melanie Kornblum
Occupational Therapist
1 Meramec Bluffs Dr
Ballwin
, Missouri 63021-3309
(314) 769-2659
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mrs. Melanie Kornblum
- 59 Christina Dr
- Pevely, MO
- Zip : 63070-1645
- Phone : (314) 769-2659
Second Address
- Mrs. Melanie Kornblum
- 1 Meramec Bluffs Dr
- Ballwin, MO
- Zip : 63021-3309
- Phone : (636) 861-0600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2014001334 | MO |
National Provider Identifier
| NPI | 1003411364 |
|---|---|
| Provider Name | Mrs. Melanie Kornblum |
| First Address | Pevely, MO 63070-1645 |
| Second Address | Ballwin, MO 63021-3309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2020 |
| Last Update Date | 03/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.