Individual
KRISTINE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 US HIGHWAY 61, FESTUS, MO 63028-4107
(636) 937-3500
Mailing address
1349 US HIGHWAY 61, FESTUS, MO 63028-4107
(636) 937-3500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014003042
MO
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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