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Andrea Kincade Valid NPI

Individual provider · Occupational Therapy Assistant · O Fallon, MO

NPI
1013676360
Type
Individual (Type 1)
Primary specialty
Occupational Therapy Assistant
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
224Z00000X
License number
2021050217 (MO)
Sex
Female
Sole proprietor
No
Enumerated
2021-12-14
Last updated
2022-01-04
Practice location
1100 Renfrew Ln S
O Fallon, MO 63366-4582
(678) 665-1563

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