Individual
KENNETH GERARD CHOINKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
100 MEDICAL PLZ, LAKE SAINT LOUIS, MO 63367-1366
(636) 755-3610
Mailing address
245 E GOVERNOR PL, SAINT CHARLES, MO 63301-4592
(636) 233-4352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000848
MO
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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