Individual
MRS. ANDREA MARIE CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11044 CEDARBERRY PL, SAINT LOUIS, MO 63123-7252
(314) 625-7596
Mailing address
11044 CEDARBERRY PL, SAINT LOUIS, MO 63123-7252
(314) 625-7596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008021473
MO
Other
Enumeration date
01/04/2010
Last updated
04/17/2014
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