Individual
MRS. LAUREN ELISE ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 231-3720
Mailing address
6906 WALDEMAR AVE, SAINT LOUIS, MO 63139-3538
(224) 688-7562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13421
MA
225X00000X
Occupational Therapist
Primary
2017030594
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13421
OCCUPATIONAL THERAPIST
MA
Enumeration date
12/02/2019
Last updated
06/04/2021
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