Individual
MRS. KATHLEEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
335 FOREST GROVE CT, SAINT PETERS, MO 63304-6783
(636) 441-5303
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2007016329
MO
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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