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Individual

KATHERINE BERGNANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-5212
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-5212

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023006219
MO
3747P1801X
Personal Care Attendant

Other

Enumeration date
03/25/2020
Last updated
02/04/2025
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