Individual
CLEMENT BARIEENEE IKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 WATSON RD, SAINT LOUIS, MO 63119-5001
(314) 961-8000
Mailing address
101 LONG PASS CT, LAKE SAINT LOUIS, MO 63367-5051
(314) 604-7484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016022083
MO
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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