MEDICARE: KIMBERLY ANN LORENZ MSOT, OTR/L, NTMTC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	2008011593	MO

General Provider Information

NPI Number	:	1770889412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN LORENZ MSOT, OTR/L, NTMTC

Provider Business Mailing Address
First Line	:	3406 CLEARFIELD LN
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63303-7308
Country	:	US
Telephone Number	:	314-239-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 SAINT PETERS CENTRE BLVD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1695
Country	:	US
Telephone Number	:	636-748-4060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2011
Last Update Date	:	08/12/2025

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