Individual
LAKENDRA BRIANA FARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3545 MESERTA LN, FLORISSANT, MO 63033-2814
(314) 315-6153
Mailing address
3545 MESERTA LN, FLORISSANT, MO 63033-2814
(314) 315-6153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008020572
MO
Other
Enumeration date
04/26/2015
Last updated
04/26/2015
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