Individual
MARY ANN ELIZABETH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
280 INTERSTATE DR, WENTZVILLE, MO 63385-4510
(636) 327-3800
Mailing address
2204 SILVER LINDEN CIR, LAKE SAINT LOUIS, MO 63367-4404
(314) 606-9904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018025725
MO
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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