Individual
TRACEY LEE DUNN-SULLENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3488 JEFFCO BLVD STE 102, ARNOLD, MO 63010-6015
(636) 464-5439
Mailing address
3488 JEFFCO BLVD, ARNOLD, MO 63010-6015
(636) 464-5439
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
2013036349
MO
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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