Individual
MRS. KIRSTEN RENAE SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
29612 KELLOGG AVE, MACON, MO 63552-3702
(573) 886-0209
Mailing address
29612 KELLOGG AVE, MACON, MO 63552-3702
(573) 886-0209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001032996
MO
Other
Enumeration date
06/06/2008
Last updated
03/21/2012
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