Individual
LINDSEY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
313 AUGUSTINE RD, EUREKA, MO 63025-1935
(636) 938-6770
Mailing address
4108 HIGHWAY T, MARTHASVILLE, MO 63357-2022
(636) 357-8428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019010110
MO
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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