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Individual

MRS. JUDITH M KAUFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
312 SOLLEY DR, BALLWIN, MO 63021-5248
(636) 391-0666
(636) 256-1382
Mailing address
14120 WESTERNMILL DR, CHESTERFIELD, MO 63017-2734
(314) 878-7222
(314) 878-7222

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000160902
MO

Other

Enumeration date
06/21/2007
Last updated
07/08/2007
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