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1790043149
KATHRYN STREET
BALLWIN, MO
NPI
1790043149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 2010031937)
Enumeration Date
2012-04-23
Last Update Date
2012-04-23
Business Address
-- KATHRYN STREET OTR/L
13610 BARRETT OFFICE DR STE 104
BALLWIN, MO 63021-7818
Phone number: 314-822-5107
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Mailing Address
-- KATHRYN STREET OTR/L
3042 APPLE BLOSSOM LN
SAINT CHARLES, MO 63303-4447
Phone number: 314-610-1694
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