Individual
MS. MIRIAM ALINE BRINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, STE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
4557B CHOUTEAU AVE, SAINT LOUIS, MO 63110-1517
(202) 329-8792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013015661
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013015661
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION, OCCUPATIONAL THERAPY BOARD
MO
Enumeration date
06/27/2013
Last updated
06/27/2013
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