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Individual

MEGAN ASSAREH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2681 WINDING VALLEY DR, FENTON, MO 63026-5116
(618) 830-1310
Mailing address
2681 WINDING VALLEY DR, FENTON, MO 63026-5116
(618) 830-1310

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014017898
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034716
UNITED HEALTHCARE
MO
05
M53210784658
MO
Enumeration date
06/24/2014
Last updated
06/07/2024
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