Individual
KAREN BOYETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
2175 ORVILLE AVE, GRANITE CITY, IL 62040-2409
(618) 407-6419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
004461
MO
224Z00000X
Occupational Therapy Assistant
Primary
057.001334
IL
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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