Individual
BRIAN D WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4337 BUTLER HILL RD STE L, SAINT LOUIS, MO 63128-3735
(314) 487-7000
(314) 487-7001
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021019009
MO
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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