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Individual

ANDRA DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7566 CORNELL AVE, SAINT LOUIS, MO 63130-2813
(314) 706-1842
Mailing address
THERAPY RELIEF AT HOPE, 11971 WESTLINE INDUSTRIAL STE. 103, SAINT LOUIS, MO 63146
(636) 242-5400

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020025191
MO

Other

Enumeration date
06/17/2021
Last updated
02/12/2024
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