Individual
JACQUELYN KREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6022 S LINDBERGH BLVD, SAINT LOUIS, MO 63123-7019
(314) 845-7751
Mailing address
6022 S LINDBERGH BLVD, SAINT LOUIS, MO 63123-7019
(314) 845-7751
(314) 845-7752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
004679
MO
225XP0200X
Pediatric Occupational Therapist
Primary
004679
MO
Other
Enumeration date
01/02/2007
Last updated
09/27/2019
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