Individual
SUWADEE PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201 OLIVE BLVD, CHESTERFIELD, MO 63017-1810
(314) 807-2727
Mailing address
330 HEATHER MILL DR, WENTZVILLE, MO 63385-3015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008021570
MO
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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