Individual
MS. MARLENE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-0778
Mailing address
1177 N. WARSON RD, ST. LOUIS, MO 63132
(314) 569-2211
(314) 569-0778
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001069
MO
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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