Individual
LISA ANNE MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
(314) 771-7790
Mailing address
6414 JANUARY AVE, SAINT LOUIS, MO 63109-3713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20001014965
MO
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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