Individual
SHANNON ELIZABETH KRAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
10560 OLD OLIVE STREET RD, SUITE 100, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Mailing address
10560 OLD OLIVE STREET RD, SUITE 100, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012030469
MO
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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