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Individual

DR. KATHLEEN LILLIAN SERFAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD,OTR/L

Contact information

Practice address
3437 CAROLINE ST, AHP, ROOM 2020, SAINT LOUIS, MO 63104-1111
(314) 977-8582
Mailing address
5305 FOX CRST, EDWARDSVILLE, IL 62025-5739
(573) 424-2092

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008701
IL
225X00000X
Occupational Therapist
Primary
2000155183
MO

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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