Individual
KATHRYN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-5107
Mailing address
3042 APPLE BLOSSOM LN, SAINT CHARLES, MO 63303-4447
(314) 610-1694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010031937
MO
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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