Individual
ERICA J FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6022 S. LINDBERGH, SUITE 100, SAINT LOUIS, MO 63123
(314) 845-7751
Mailing address
6634 LINDENWOOD PL, #1, SAINT LOUIS, MO 63109-1222
(314) 283-2340
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2001018129
MO
Other
Enumeration date
02/23/2009
Last updated
12/19/2014
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