Individual
MIRA TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11330 OLIVE BLVD STE 20, CREVE COEUR, MO 63141-7275
(636) 896-2205
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 223-5700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024042229
MO
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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