Organization
SAFE IN THE NEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SHAYNE GOLDSTEIN OTR/L (SOLE PROPRIETOR)
(314) 853-3914
Entity
Organization
Contact information
Practice address
11125 SCHUETZ RD, SAINT LOUIS, MO 63146-4909
(314) 853-3914
(314) 692-8113
Mailing address
11125 SCHUETZ RD, SAINT LOUIS, MO 63146-4909
(314) 853-3914
(314) 692-8113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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