NPI 1013676360

Andrea Kincade

Practitioner Occupational Therapy Assistant O Fallon, MO

Practice location

Address: 1100 Renfrew Ln S, O Fallon, MO 63366-4582
Phone: (678) 665-1563

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2021050217 (MO)

Other Occupational Therapy Assistant providers in Missouri →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA002360 (GA)

Registry record

NPI: 1013676360
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2021
Record last updated: 4 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.