Individual
ASIA MAKANANI SATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 W HIGHWAY 50 STE 150, O FALLON, IL 62269-1828
(618) 726-0370
Mailing address
5600 PERSHING AVE APT 32, SAINT LOUIS, MO 63112-1731
(808) 673-1118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015949
IL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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