Individual
LAURA L SHILLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
777 S NEW BALLAS RD STE 218E, SAINT LOUIS, MO 63141
(314) 991-2562
Mailing address
403 WAY AVE, SAINT LOUIS, MO 63122-3942
(314) 394-1423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000779
MO
Other
Enumeration date
03/27/2007
Last updated
08/16/2018
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