Individual
ELIZABETH RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 MANCHESTER AVE, SAINT LOUIS, MO 63110-2011
(314) 690-7743
Mailing address
5035 MANCHESTER AVE, SAINT LOUIS, MO 63110-2011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015003545
MO
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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