Individual
MRS. SHANNON LEIGH DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
550 WHITE RD, CHESTERFIELD, MO 63017-2316
(314) 628-6102
Mailing address
53 NORMANDY DR, LAKE ST LOUIS, MO 63367-1504
(314) 401-9227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004002143
MO
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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