Individual
LEICA MARIE HAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7001 S HIGHWAY 94, SAINT CHARLES, MO 63304-2201
(636) 851-4700
Mailing address
523 AUBURN TRACE LN, SAINT PETERS, MO 63376-1706
(502) 777-3225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021029428
MO
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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