Individual
CARSON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9700
Mailing address
6411 ALAMO AVE APT 2W, SAINT LOUIS, MO 63105-3144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023028166
MO
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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