Individual
THERESA ANN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1998 HANLEY RD, O FALLON, MO 63368-6732
(636) 625-1005
Mailing address
1998 HANLEY RD, O FALLON, MO 63368-6732
(636) 625-1005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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