Individual
KATRINA CASANDRA DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 785-0188
Mailing address
12406 COUNTY ROAD 250, PUXICO, MO 63960-9158
(573) 625-8838
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
418879
MO
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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