Individual
LAUREN KATHERINE QUESENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
704 E HIGHWAY 72, FREDERICKTOWN, MO 63645-7491
(573) 783-8001
Mailing address
3865 STATE ROAD V, DE SOTO, MO 63020-5176
(803) 356-2352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020028530
MO
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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