Individual
KATHLEEN NOELL KROUTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4586 S 116TH RD, BOLIVAR, MO 65613-8547
(417) 326-2466
(417) 326-7739
Mailing address
617 E EDGEWOOD ST, SPRINGFIELD, MO 65807-3636
(417) 818-9039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018014372
MO
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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