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Individual

MS. KIMBERLY SUE BOLLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2085 BLUESTONE DR, SAINT CHARLES, MO 63303-6726
(636) 896-0999
Mailing address
17646 SALEM RD, GRAFTON, IL 62037-2406
(618) 593-9268

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016035032
MO

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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