Individual
KATHLEEN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
12380 DEPAUL DR, BRIDGETON, MO 63044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010002016
MO
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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