Individual
TIFFANY SUZANNE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1150 HANLEY INDUSTRIAL CT, SAINT LOUIS, MO 63144-1910
(314) 968-9313
Mailing address
4083 AMBERLEIGH PKWY, IMPERIAL, MO 63052-3134
(314) 780-0369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004957
MO
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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