Organization
MID-AMERICA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA SHYKEN (OCCUPATIONAL THERAPIST MANAGER)
(314) 434-5410
Entity
Organization
Contact information
Practice address
14360 SOUTH OUTER FORTY, TOWN AND COUNTRY, MO 63017
(314) 434-5410
(314) 431-5640
Mailing address
14360 S OUTER 40, TOWN AND COUNTRY, MO 63017-5710
(314) 434-5640
(314) 431-5640
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
2007003917
MO
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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