Individual
CASSY KUBALA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 JEFFERSON BARRACKS DR BLDG 52, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
111 TIMKA DR, BALLWIN, MO 63011-3740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007032269
MO
Other
Enumeration date
05/19/2014
Last updated
06/04/2024
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