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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLEEN LOUISE WIEGMAN, COTA/L

Active Sole Proprietor

MRS. KATHLEEN LOUISE WIEGMAN, COTA/L is a Skilled Nursing Facility healthcare provider located in FLORISSANT, Missouri. NPI 1568629137 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · FLORISSANT, MO

Registration Details

NPI Number
1568629137
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2008 (18.215832025315 yrs)
Last Updated
May 20, 2008
Licenses
2007016351 (MO)
2007016351 (MO)
Sole Proprietor
Yes

Practice Information

Address
6768 N US HIGHWAY 67
FLORISSANT, MO, 630342742
Browse MO providers · Browse ZIP 63034
Phone
3144133657
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.