Individual
DENEISHION DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13610 BARRETT OFFICE DR STE 104, BALLWIN, MO 63021-7818
(314) 822-5107
Mailing address
16357 HAMPDEN PLACE, FLORISSANT, MO 63034
(314) 216-1790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003825
IL
224Z00000X
Occupational Therapy Assistant
Primary
2012019679
MO
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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