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Individual

LEAH MARIE MUNTGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
5210 NOTTINGHAM AVE, SAINT LOUIS, MO 63109-2963
(314) 791-5906
Mailing address
5210 NOTTINGHAM AVE, SAINT LOUIS, MO 63109-2963

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010029470
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2010029470
STATE OF MISSOURI, MISSOURI BOARD OF HEALING ARTS
MO
Enumeration date
02/10/2012
Last updated
02/10/2012
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