Individual
LATINA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9575 JACOBI AVE, SAINT LOUIS, MO 63136-2931
(314) 395-6632
Mailing address
9575 JACOBI AVE, SAINT LOUIS, MO 63136-2931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011032585
MO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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