Individual
SHANNAN M BORGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2120 BRYAN VALLEY COMMERCIAL DR, O FALLON, MO 63366-3495
(636) 240-8096
Mailing address
721 N 17TH ST APT 303, SAINT LOUIS, MO 63103-1737
(417) 631-8943
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2014006820
MO
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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