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Individual

MS. KATHERINE BURTHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
319 PECAN BLUFFS DR, WENTZVILLE, MO 63385-4867
(314) 221-8532
Mailing address
319 PECAN BLUFFS DR, WENTZVILLE, MO 63385-4867
(314) 221-8532

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019043509
MO

Other

Enumeration date
11/04/2022
Last updated
11/04/2022
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