Individual
ELLIE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 817-2262
(314) 569-0778
Mailing address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 817-2262
(314) 569-0778
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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