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Individual

MRS. KATHERINE A KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
803 S 20TH ST, PUTNAM COUNTY R-1 SCHOOL DISTRICT, UNIONVILLE, MO 63565-1482
(660) 947-3361
(660) 947-2912
Mailing address
803 S 20TH ST, UNIONVILLE, MO 63565-1482
(660) 947-3361
(660) 947-2912

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000407
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
473742328
MO
Enumeration date
03/05/2007
Last updated
02/19/2009
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