Individual
LYDIA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 FRANCIS PL STE 115, CLAYTON, MO 63105-2465
(314) 644-1978
Mailing address
1123 RAINBOW DR, SAINT LOUIS, MO 63125-3514
(314) 603-3192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021010844
MO
Other
Enumeration date
10/07/2021
Last updated
02/25/2025
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