Individual
MIRANDA LEE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2885 TECHNOLOGY DR, LAKE ST LOUIS, MO 63367-4123
(636) 614-3310
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022001777
MO
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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