Individual
MR. KENNETH J SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004345
MO
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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