Individual
KAYLYN GRACE NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 COMPASS RD, GLENVIEW, IL 60026
(877) 787-3422
Mailing address
4104 CATALINA DR, JEFFERSON CITY, MO 65109-7300
(573) 301-2550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023037866
MO
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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