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Individual
SHAD MICHAEL ST. LOUIS
Active
Individual
SHAD MICHAEL ST. LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR, CDRS
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
1927
CO
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1927
CO
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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