Individual
MRS. SHIRLEY LOUISE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1020 BELLARMINE LN, FLORISSANT, MO 63031-7323
(314) 803-1089
Mailing address
1020 BELLARMINE LN, FLORISSANT, MO 63031-7323
(314) 803-1089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000174557
MO
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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