Individual
AMANDA ZACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 BALSON AVE., ST. LOUIS, MO 63130
(618) 420-5906
Mailing address
310 STEEPLE LN, WILDWOOD, MO 63005-4202
(186) 420-5906
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
056.010257
IL
225XP0200X
Pediatric Occupational Therapist
Primary
2021019935
MO
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
09/17/2013
Last updated
10/04/2021
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