ALEXA FORNKOHL

SIKESTON, MO
NPI1003462565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32003331A)
Enumeration Date2019-08-12
Last Update Date2025-08-05
Business Address
ALEXA FORNKOHL
300 FLOYD DR
SIKESTON, MO 63801-3960
Phone number: 573-472-0397
Mailing Address
ALEXA FORNKOHL
300 FLOYD DR
SIKESTON, MO 63801-3960
Phone number: 573-472-0397
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