Individual
MRS. LAUREN ELIZABETH ULLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1921 PRATHER AVE, SAINT LOUIS, MO 63139-3546
(314) 645-1202
Mailing address
1575 LOUISVILLE AVE, SAINT LOUIS, MO 63139-3630
(618) 409-1014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018031340
MO
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/20/2019
Last updated
09/07/2021
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