Individual
LARRA KUBINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 S METZLETEIN RD, CLEVER, MO 65631-6208
(573) 855-8554
Mailing address
2540 S METZLETEIN RD, CLEVER, MO 65631-6208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019011702
MO
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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