Individual
KYLIE LUDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3045 S NATIONAL AVE, SUITE 201, SPRINGFIELD, MO 65804-4268
(417) 889-4800
(417) 889-0980
Mailing address
3045 S NATIONAL AVE, SUITE 201, SPRINGFIELD, MO 65804-4268
(417) 889-4800
(417) 889-0980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010001992
MO
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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