Individual
HOLLY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 BELLEVUE AVE FL 3, SAINT LOUIS, MO 63117-1996
(314) 768-5202
Mailing address
4500 SWAN AVE APT 423, SAINT LOUIS, MO 63110-2193
(616) 430-9067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025008536
MO
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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