| Angelle Henson, | |
|
4200 N Cloverleaf Dr Ste J, Saint Peters, MO 63376-6436 | |
| (636) 922-4700 | |
| Not Available |
| Full Name | Angelle Henson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 4200 N Cloverleaf Dr Ste J, Saint Peters, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831947167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 2024016293 (Missouri) | Primary |
| Provider Name | Childrens Illinois Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073283198 PECOS PAC ID: 9830587237 Enrollment ID: O20211103001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelle Henson, 343 Ridge Dr, Bethalto, IL 62010-2165 Ph: (618) 772-8898 | Angelle Henson, 4200 N Cloverleaf Dr Ste J, Saint Peters, MO 63376-6436 Ph: (636) 922-4700 |
Rebecca Ann Davey, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Old Mill Pkwy, Saint Peters, MO 63376 Phone: 636-926-2700 Fax: 636-447-4919 | |
Mrs. Susan Ponciroli Velders, M. ED., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Old Mill Pkwy, Saint Peters, MO 63376 Phone: 636-926-2700 Fax: 636-447-4919 | |
Heather Nolting, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5400 Executive Centre Pkwy, Saint Peters, MO 63376 Phone: 636-922-7600 | |
Kiley Neichter, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1395 Jungermann Rd, Saint Peters, MO 63376 Phone: 636-485-7607 | |
Kimberly S Kampeter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Knaust Rd, Saint Peters, MO 63376 Phone: 636-441-6465 | |
Michaela M Aholt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7055 Mexico Rd Unit 1601, Saint Peters, MO 63376 Phone: 636-866-1341 Fax: 636-323-2155 | |
Lori Porten, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Weiss Rd, Saint Peters, MO 63376 Phone: 636-851-6100 |