Individual
LACEY ANN GEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMITED PERMIT
Contact information
Practice address
10560 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Mailing address
10560 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012017942
MO
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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