Individual
DESTINY SHAUNTE EIKERENKOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8747 BIG BEND BLVD, WEBSTER GROVES, MO 63119-3729
(314) 968-4044
Mailing address
354 CHAPARRALL CREEK DR APT 2202, HAZELWOOD, MO 63042-3954
(314) 731-0806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005023974
MO
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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