Individual
MARY KATHRYN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
7068 S OUTER 364, O FALLON, MO 63368-7757
(636) 240-6100
Mailing address
1979 LUNENBURG DR, SAINT PETERS, MO 63376-8167
(636) 696-6051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016029961
MO
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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