Most Relevant Information
Provider Data
| NPI Number: | 1003257676 |
| Provider Name: | KRISTIN JO AINSWORTH COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 2013001408 |
Most Important Dates
| Enumeration Date: | 07/11/2013 |
| Last Updated: | 07/11/2013 |
Provider Practice Location
1102 S MAIN ST
CONCORDIA
MO
640209373
Practice Location Phone/Fax
| Phone: | 6604411088 |
| Fax: |
Provider Mailing Location
1102 S MAIN ST
CONCORDIA
MO
640209373
Provider Mailing Phone/Fax
| Phone: | 6604411088 |
| Fax: |