Individual
ALLYSON KRISTINE BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5178 KING ST, IMPERIAL, MO 63052-4000
(636) 222-1128
Mailing address
5178 KING ST, IMPERIAL, MO 63052-4000
(636) 222-1128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
429493
MO
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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