ANDREA KINCADE

O FALLON, MO
NPI1013676360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2021050217)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: GA  OTA002360)
Enumeration Date2021-12-14
Last Update Date2022-01-04
Business Address
ANDREA KINCADE
1100 RENFREW LN S
O FALLON, MO 63366-4582
Phone number: 678-665-1563
Mailing Address
ANDREA KINCADE
1100 RENFREW LN S
O FALLON, MO 63366-4582
Phone number: