Individual
AMANDA SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 447-9710
(314) 447-9711
Mailing address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 447-9710
(314) 447-9711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012002303
MO
Other
Enumeration date
10/28/2014
Last updated
09/18/2019
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