Individual
MS. STACY ANN FOERSTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9300 GREEN PARK RD, SAINT LOUIS, MO 63123-7211
(314) 845-1000
Mailing address
4290 BORDEAUX DR, SAINT LOUIS, MO 63129-3810
(314) 440-7622
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2007016292
MO
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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