Individual
MRS. PEGGY SUE LITTLE-COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
3520 CHOUTEAU AVE, SAINT LOUIS, MO 63103-2916
(314) 771-2100
Mailing address
4025 LINMORE DR, SAINT LOUIS, MO 63129-2019
(314) 845-9918
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999142154
MO
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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