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Organization

LIFE SKILLS THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SELENA CARTER MS, OTR/L (PRESIDENT)
(314) 477-9523
Entity
Organization

Contact information

Practice address
7869 WAYNE AVE, SAINT LOUIS, MO 63130-1231
(314) 477-9523
(314) 863-7662
Mailing address
7869 WAYNE AVE, SAINT LOUIS, MO 63130-1231
(314) 477-9523
(314) 863-7662

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001001156
MO

Other

Enumeration date
01/25/2011
Last updated
02/01/2011
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