Individual
MARIA THERESE SHAMBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13550 S OUTER 40 RD, TOWN AND COUNTRY, MO 63017-5812
(314) 878-1339
Mailing address
829 PERRY ST, SAINT CHARLES, MO 63301-2947
(314) 971-1081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023011529
MO
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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