Individual
LAURA SIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/R, CLC
Contact information
Practice address
2150 W RANDOLPH ST, SAINT CHARLES, MO 63301-0844
(636) 946-4966
Mailing address
3029 COUNTRY KNOLL DR, SAINT CHARLES, MO 63303-6368
(636) 359-5540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014024526
MO
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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