Individual
SANDRA L RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4940
(636) 332-4941
Mailing address
298 LAKEWOOD TRL, TROY, MO 63379-5357
(636) 462-4612
(636) 332-4941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005286
MO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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