Individual
KATELYN NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
405 FARMER RD, WILLARD, MO 65781-9509
(417) 742-0930
(417) 742-0841
Mailing address
405 FARMER RD, WILLARD, MO 65781-9509
(417) 742-0930
(417) 742-0841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017025882
MO
224Z00000X
Occupational Therapy Assistant
5967
AZ
Other
Enumeration date
04/23/2015
Last updated
08/14/2024
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