Individual
KATRINA LEA WERTHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 HORNET DR, FULTON, MO 65251-2732
(573) 590-8000
Mailing address
513 COMMONS DR, FULTON, MO 65251-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023042704
MO
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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