Individual
ZAKERIYA LATRICE BASELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2040 WOODSON RD STE 201, SAINT LOUIS, MO 63114-5606
(314) 627-1777
Mailing address
5321 SAVOY CT APT 101, SAINT LOUIS, MO 63112-3174
(602) 829-6026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024012966
MO
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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