NPI 1164801338

Kristina M Moscketti, COTA

Practitioner Occupational Therapy Assistant O Fallon, MO

Practice location

Address: 2002 Boardwalk Commons Dr., O Fallon, MO 63368
Phone: (636) 561-7275
Mailing address: 1153 Ivy Point Dr, O Fallon, MO 63366-7521

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 20144028089 (MO)

Other Occupational Therapy Assistant providers in Missouri →

Registry record

NPI: 1164801338
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2015
Record last updated: 21 May 2015

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.