Individual
KRISTIN D'AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2706 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
Mailing address
5443 FLINT ST, SHAWNEE, KS 66203-1526
(913) 912-2003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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