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Individual

MRS. HEATHER ANN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
12509 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1701
(314) 270-7790
(314) 849-2045
Mailing address
9920 CRESTWOOD DR, SAINT LOUIS, MO 63126-1802
(314) 497-2341

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000157308
MO

Other

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