Individual
AMY JO MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 6TH ST, SAINT CHARLES, MO 63301-1838
(636) 443-4000
Mailing address
400 N 6TH ST, SAINT CHARLES, MO 63301-1838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999137819
MO
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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