Individual
L. KAY NORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2174 SAN SIMEON DR, ARNOLD, MO 63010-5211
(636) 577-2061
Mailing address
2174 SAN SIMEON DR, ARNOLD, MO 63010-5211
(636) 577-2061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003843
MO
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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