Individual
MRS. KIMBERLY A HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
27 REINKE RD, ELLISVILLE, MO 63021-4700
(636) 527-5554
Mailing address
642 W MAIN ST, FESTUS, MO 63028-1824
(314) 313-0982
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015006942
MO
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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