Individual
MARISSA SODOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
5212 SHAWNEE VIEW CT, EUREKA, MO 63025-4024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/16/2021
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