Individual
JULIE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
456 N NEW BALLAS RD STE 211, SAINT LOUIS, MO 63141-6842
(314) 227-2124
Mailing address
4100 LINDELL BLVD APT 207, SAINT LOUIS, MO 63108-2910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024016168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024016168
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
—
510882
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
05/14/2024
Last updated
05/14/2024
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