Organization
BRICKS AND BITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA L FISHER (CEO, OTR/L)
(314) 534-8485
Entity
Organization
Contact information
Practice address
2101 S JEFFERSON AVE, SAINT LOUIS, MO 63104-2209
(314) 534-8485
(314) 530-0315
Mailing address
4547 FLORA AVE APT 2W, SAINT LOUIS, MO 63110-3224
(314) 534-8485
(314) 530-0315
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
07/16/2020
Last updated
12/10/2021
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