Individual
KATHY L AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1317 N 36TH ST, SAINT JOSEPH, MO 64506-2359
(816) 676-1630
Mailing address
4926 MOCKINGBIRD LN, SAINT JOSEPH, MO 64506-3327
(405) 596-8860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012036485
MO
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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