Individual
BETH ANN DAMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 VILLAGE SQUARE CTR STE A, HAZELWOOD, MO 63042-1817
(314) 731-4555
(314) 557-6110
Mailing address
942 SCOTCH PINE TRL, FORISTELL, MO 63348-1522
(314) 566-0282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2009014390
MO
Other
Enumeration date
08/21/2010
Last updated
08/21/2010
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