Individual
KAYLEN EMILY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 DUNN RD, FLORISSANT, MO 63031-7928
(314) 912-4707
Mailing address
10332 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5922
(314) 567-4707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025006377
MO
225XP0200X
Pediatric Occupational Therapist
2025006377
MO
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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