Individual
KATELYN CAROL LOUISE KEUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4165 MILLERS RDG, SAINT CHARLES, MO 63304-7765
(660) 281-0096
Mailing address
4165 MILLERS RIDGE, ST. CHARLES, MO 63304
(660) 281-0096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014002502
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045
—
MO
Enumeration date
06/09/2014
Last updated
06/09/2014
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