Individual
MRS. ELIZABETH DENISE VAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA,OTR/L
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
(314) 275-7444
Mailing address
13480 KINGSCROSS LN APT 3, SAINT LOUIS, MO 63141-7254
(314) 681-1292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000605
MO
Other
Enumeration date
07/27/2007
Last updated
01/12/2012
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