Individual
KIMBERLY MECHELLE BAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
532 HICKORY MNR, ARNOLD, MO 63010-2797
(314) 440-8391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003308
MO
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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