Individual
KERI LEEANN HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1520 DERHAKE RD, FLORISSANT, MO 63033-6416
(314) 989-8000
Mailing address
1520 DERHAKE RD, FLORISSANT, MO 63033-6416
(314) 989-8000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019010913
MO
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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