Individual
KAYLEE MARIE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
(573) 240-8846
Mailing address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015019495
MO
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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