Individual provider · Type 1 NPI

Kathleen Carroll, COTA/L

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1245624675 Active

Practice location

11960 Westline Industrial Dr, 201
St. Louis, MO 63146-3209

Call (314) 819-0480 Map

Mailing address

335 Forest Grove Ct
St. Peters, MO 63304-6783

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2007016329 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245624675

Kathleen Carroll, COTA/L's National Provider Identifier is 1245624675, issued on Mar 24, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 24, 2015.