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Individual

KATHYRN R MAHNKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
X
Credential
COTA/L

Contact information

Practice address
844 PASSOVER RD, OSAGE BEACH, MO 65065-2834
(573) 348-2225
Mailing address
928 W ROLLINS ST, MOBERLY, MO 65270-1353
(660) 651-5716

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013002481
MO

Other

Enumeration date
02/02/2015
Last updated
01/18/2025
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