Kyna Thorberg

NPI #1265813505 in O Fallon, Missouri

Provider Information

NPI Number: 1265813505
Entity Type: Individual
Name: Kyna Thorberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 12, 2015
Last Updated: Jun 12, 2015

Practice Location

Address: 203 COUNTRY VISTA DR
City: O Fallon
State: Missouri
ZIP Code: 63367-5856
Phone: (636) 357-5617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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