Individual
KRISTINA M MOSCKETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2002 BOARDWALK COMMONS DR., O FALLON, MO 63368
(636) 561-7275
Mailing address
1153 IVY POINT DR, O FALLON, MO 63366-7521
(314) 640-2488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20144028089
MO
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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