Individual
KRISTEN LEE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, EFC
Contact information
Practice address
1600 W. JACKSON ST., OZARK, MO 65721
(417) 582-5900
Mailing address
1600 W JACKSON ST, OZARK, MO 65721-9156
(417) 582-5900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013027215
MO
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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