Individual
COLLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BON PRICE TERRACE, ST. LOUIS, MO 63132
(314) 997-5547
Mailing address
5 BON PRICE TERRACE, ST. LOUIS, MO 63132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004779
MO
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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