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Individual

ROSE LOUISE MCANDREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2937 S BRENTWOOD BLVD, BRENTWOOD, MO 63144-2713
(314) 761-3804
(314) 961-1147
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007117
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619980
BCBS OF IL
IL
Enumeration date
04/19/2007
Last updated
10/24/2016
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