MS. Jamie Lee Kilquist, PTA

NPI #1275101446 in O Fallon, Illinois

Provider Information

NPI Number: 1275101446
Entity Type: Individual
Name: MS. Jamie Lee Kilquist, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 15, 2021
Last Updated: Jun 15, 2021

Practice Location

Address: 634 N MAIN ST STE 3
City: O Fallon
State: Illinois
ZIP Code: 62269-3746
Phone: (618) 632-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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