Individual
MARCIE E CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/LICENSED
Contact information
Practice address
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110-4009
(314) 664-3927
Mailing address
3863 CLEVELAND AVE, SAINT LOUIS, MO 63110-4009
(314) 664-3927
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018017072
MO
Other
Enumeration date
06/20/2018
Last updated
05/03/2019
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