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Individual

MISS MARGARET JOAN COLEGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4940
(636) 332-4941
Mailing address
2510 W RANDOLPH ST, SAINT CHARLES, MO 63301-0853
(314) 620-5394

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014032534
MO

Other

Enumeration date
06/07/2015
Last updated
06/07/2015
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