Individual
KATHLEEN LYNN BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
760 PREAKNESS LN, FLORISSANT, MO 63033-3614
(404) 519-0324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.004082
IL
224Z00000X
Occupational Therapy Assistant
Primary
2014009872
MO
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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