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