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Individual

AVERY ROSINA PACELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT R/L

Contact information

Practice address
884 WOODS MILL RD STE 200, BALLWIN, MO 63011-3657
(636) 238-4910
Mailing address
5800 HIGHLANDS PLAZA DR APT 335, SAINT LOUIS, MO 63110-1361

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.013944
IL
225X00000X
Occupational Therapist
Primary
2020038276
MO

Other

Enumeration date
11/18/2020
Last updated
11/18/2020
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