Individual
MR. TIMOTHY L SHURTLEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4444 FOREST PARK AVE, SAINT LOUIS, MO 63108-2212
(314) 362-5079
(314) 286-1601
Mailing address
4444 FOREST PARK AVE, C B 8505, SAINT LOUIS, MO 63108-2212
(314) 362-5079
(314) 286-1601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007009227
MO
Other
Enumeration date
04/09/2007
Last updated
11/14/2016
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