Individual
MISS KYLIE BROOKE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
806 S KINGSHIGHWAY ST, SIKESTON, MO 63801-5919
(573) 471-0110
Mailing address
806 S KINGSHIGHWAY ST, SIKESTON, MO 63801-5919
(573) 471-0110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010031856
MO
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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