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Individual

CATHERINE HASTERLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, CLT

Contact information

Practice address
4200 S. 4TH STREET, LEAVENWORTH, KS 66048-5024
(913) 758-6542
Mailing address
1335 NW BROAD ST, MURFREESBORO, TN 37129-4428

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03503
KS
225X00000X
Occupational Therapist
2018043668
MO

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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