Individual
MISS LINDSAY ANNE HUENEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 208-2784
Mailing address
8146 BETHALTO RD, BETHALTO, IL 62010-2552
(618) 975-8403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003303
IL
224Z00000X
Occupational Therapy Assistant
2013010791
MO
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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