Individual
MADELINE DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
6022 S LINDBERGH BLVD, SAINT LOUIS, MO 63123-7019
(314) 845-7751
Mailing address
6417 JANUARY AVE, SAINT LOUIS, MO 63109-3714
(314) 791-2988
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2017036849
MO
Other
Enumeration date
05/23/2019
Last updated
10/12/2022
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