Individual
SAMANTHA ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6022 S LINDBERGH BLVD STE 100, SAINT LOUIS, MO 63123-7019
(314) 845-7751
Mailing address
2901 MINNESOTA AVE, SAINT LOUIS, MO 63118-1323
(314) 403-4325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012031932
MO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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