Individual
KAITLYNN RICHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 NAZARETH LN, SAINT LOUIS, MO 63129-7600
(314) 649-4633
Mailing address
2 NAZARETH LN, SAINT LOUIS, MO 63129-7600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023030156
MO
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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