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Individual

ELIZABETH LEE BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
7601 WATSON RD, SAINT LOUIS, MO 63119-5001
(314) 961-8000
Mailing address
1609 MEADOW CIRCLE DR, PACIFIC, MO 63069-1248
(636) 257-1379

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000161069
MO

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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