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Individual

MRS. BRIDGET DIMERCURIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
555 E TERRA LN, O FALLON, MO 63366-2725
(636) 240-2072
Mailing address
1175 SAINT THERESA LN, O FALLON, MO 63368-8211
(636) 459-0890

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2000155593
MO

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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