Individual
KACIE EUN SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2929 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3318
(636) 825-6665
Mailing address
714 E WOOD, COLUMBIA, IL 62236-2078
(417) 860-2061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013015664
MO
Other
Enumeration date
02/09/2020
Last updated
02/27/2020
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