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Individual

MRS. KATHY JANE SPECKART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA L

Contact information

Practice address
2920 FEE FEE ROAD, NNC NATIONAL HEALTHCARE MARYLAND HEIGHTS, ST LOUIS, MO 63043
(314) 291-0121
(314) 291-0132
Mailing address
11217 OAK HILL MANOR DRIVE, BRIDGETON, MO 63044-3120
(314) 298-0391

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004380
MO

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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