Individual
ELIZABETH GRACE O'LEARY
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
364 JEFFERSON RD, SAINT LOUIS, MO 63119-3645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001017820
MO
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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