Individual
LESLIE MARGARET RUNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 PEARL DR, SAINT PETERS, MO 63376-1073
(314) 753-5017
Mailing address
770 PEARL DR, SAINT PETERS, MO 63376-1073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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