MRS. Mary Katherine Governal, C.O.T.A./L
NPI #1972811149 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1972811149
- Entity Type
- Individual
- Name
- MRS. Mary Katherine Governal, C.O.T.A./L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- C.O.T.A./L
- Enumeration Date
- Sep 21, 2010
- Last Updated
- Sep 21, 2010
Practice Location
- Address
- 2 HARBOR BEND CT
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-1478
- Phone
- (636) 965-2070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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