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Individual

MRS. JULIE LYNN VLASICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
6825 NATURAL BRIDGE RD, SAINT LOUIS, MO 63121-5314
(314) 385-4987
Mailing address
3520 TARN ST, ST CHARLES, MO 63301
(636) 255-0010

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000175207
MO

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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