Individual
TIARE SADARANANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 LYNCH ST, SAINT LOUIS, MO 63118-1818
(314) 535-5600
Mailing address
1001 LYNCH ST, SAINT LOUIS, MO 63118-1818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020004484
MO
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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