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Individual

CAROL MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
763 S NEW BALLAS RD, STE 200, SAINT LOUIS, MO 63141-8704
(314) 991-2562
(314) 991-2593
Mailing address
303 N KEENE ST, SUITE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
(573) 443-0290

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2005028295
MO

Other

Enumeration date
10/01/2015
Last updated
10/01/2015
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