Individual
TRICIA DIANE MOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12826 DAYLIGHT CIR, SAINT LOUIS, MO 63131-1890
(314) 792-0514
Mailing address
2180 BLOSSOM LN, ARNOLD, MO 63010-2559
(314) 713-7939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012019404
MO
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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