Individual
BETSY TWIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CED
Contact information
Practice address
825 S TAYLOR AVE, SAINT LOUIS, MO 63110-1567
(314) 977-0134
(314) 977-0023
Mailing address
1736 NICHOLSON PL UNIT B, SAINT LOUIS, MO 63104-2614
(314) 977-0134
(314) 977-0023
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
0438749
MO
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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