Individual
MRS. LISA INCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0132
Mailing address
503 TERRINGTON DR, BALLWIN, MO 63021-4467
(636) 386-5170
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0484537
MO
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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