Individual
STACY KLOEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 KOUNTRY LN, MARTHASVILLE, MO 63357-1750
(314) 974-6645
Mailing address
26 KOUNTRY LN, MARTHASVILLE, MO 63357-1750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004325
MO
Other
Enumeration date
06/30/2016
Last updated
06/20/2019
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