Organization
INTEGRA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY ELIZABETH BRAGG MS OTR/L (MANAGING MEMBER)
(314) 494-6337
Entity
Organization
Contact information
Practice address
1433 DOLMAN ST, SAINT LOUIS, MO 63104-3307
(314) 494-6337
(888) 452-2930
Mailing address
PO BOX 2101, SAINT LOUIS, MO 63158-0101
(314) 494-6337
(888) 452-2930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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