Individual
DURWOOD ALAN TENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Mailing address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(314) 447-9710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4660
MO
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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