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Carol J Kern, otr/l

Occupational Therapist in Wildwood, MO. Individual provider (NPI-1).

NPI number1245554229
StatusActive
Last updated in NPPESApr 6, 2010

Details

NPI
1245554229
Entity type
Individual (NPI-1)
Name
Mrs. Carol J Kern
Credential
otr/l
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2010
Last updated
Apr 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

16350 Lakeshore Terrace Ct
Wildwood, MO 63038-2310

Phone 636-394-4766

Mailing address

16350 Lakeshore Terrace Ct
Wildwood, MO 63038-2310

Phone 636-394-4766

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