Individual
MRS. DEANN MARIE KIRKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
250 NEW FLORISSANT RD SOUTH, ST LOUIS, MO 63031
(314) 830-7950
Mailing address
8983 ANTONETTE HILLS DR, SAINT LOUIS, MO 63123-6503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2002005501
MO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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