Individual
JENNIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
12137 BENT BROOK RD, SAINT LOUIS, MO 63122-2114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012018903
MO
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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