Individual
MICHELLE RENEE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16219 AUTUMN VIEW TERRACE DR, ELLISVILLE, MO 63011-4743
(636) 458-5225
Mailing address
763 SUMMER TOP CIR, FENTON, MO 63026-3902
(314) 807-2726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005040
MO
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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