Individual
KAILIN LYNN LUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
31 LAKEMONT DR, SAINT CHARLES, MO 63304-7951
(319) 321-5076
Mailing address
31 LAKEMONT DR, SAINT CHARLES, MO 63304-7951
(319) 321-5076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024017879
MO
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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