Individual
KYNA THORBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 COUNTRY VISTA DR, O FALLON, MO 63367-5856
(636) 357-5617
Mailing address
203 COUNTRY VISTA DR, O FALLON, MO 63367-5856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004003286
MO
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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