Individual
KIMBERLY LANETTE WERKMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11701 BORMAN DR, SUITE 280, SAINT LOUIS, MO 63146-4100
(186) 643-3955
Mailing address
120 CAROL DR, TROY, MO 63379-3346
(636) 462-2729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000173550
MO
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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