Individual
MS. KATHRYN SUE MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14532 SOUTH OUTER 40 RD STE 120, STE 120, CHESTERFIELD, MO 63017-5784
(314) 362-7398
(314) 514-3635
Mailing address
4444 FOREST PARK AVE, C B 8505, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 286-1601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2012001637
MO
225X00000X
Occupational Therapist
Primary
5201011180
MI
Other
Enumeration date
09/15/2016
Last updated
03/13/2023
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