Andrea Kincade
Andrea Kincade is an Occupational Therapy Assistant in O Fallon, Missouri. Licensed in Georgia and Missouri. Registered with an NPI since 2021.
- Licensed in
- GA, MO
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1100 Renfrew Ln SO Fallon, MO 63366-4582
Phone: (678) 665-1563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2021050217 (MO) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence OTA002360 (GA) |
Record details
| NPI number | 1013676360 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 14, 2021 |
| Last updated in NPPES | January 4, 2022 |
| Certification date | January 4, 2022 |
| Mailing address | 1100 Renfrew Ln S, O Fallon, MO 63366-4582 |
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