Individual
MISS FAITH EILEEN DOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11400 MEHL AVE, FLORISSANT, MO 63033-7204
(314) 741-3525
Mailing address
9626 HEMLOCK DR, SAINT LOUIS, MO 63137-1358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005462
MO
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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