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Individual

MS. MARY KAY WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE #201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
501 STEINHAGEN RD, WARRENTON, MO 63383-1617
(636) 377-2284

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006031780
MO

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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