Individual
KRISTINE PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 WEIN ST, HERMANN, MO 65041-1601
(573) 486-3155
Mailing address
2332 DRIFTWOOD PL, SAINT LOUIS, MO 63146-2410
(314) 456-7650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2021010839
MO
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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