Individual
KIMBERLY NEUSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
644 GREEN TREE MEADOWS DR, LAKE ST LOUIS, MO 63367-2571
(913) 523-5503
Mailing address
644 GREEN TREE MEADOWS DR, LAKE ST LOUIS, MO 63367-2571
(913) 523-5503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014020408
MO
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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