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Individual

SVETLANA SIMONYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1630 MARKET CENTER DR # DR200, O FALLON, MO 63368-8407
(636) 263-3006
Mailing address
1344 AMHERST TERRACE WAY, CHESTERFIELD, MO 63017-6010

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013040756
MO
225X00000X
Occupational Therapist

Other

Enumeration date
05/24/2014
Last updated
09/06/2019
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