JOHANNA MCKIM

JEFFERSON CITY, MO
NPI1720201726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2006001909)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- JOHANNA MCKIM
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
Mailing Address
-- JOHANNA MCKIM
315 E DUNKLIN ST
JEFFERSON CITY, MO 65101-3128
Phone number: 573-659-3033
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