Individual
ANNE BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6543 CHIPPEWA ST, SAINT LOUIS, MO 63109-4114
(314) 781-4781
Mailing address
1455 LEGACY CIR, FENTON, MO 63026-2375
(314) 308-0922
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011003811
MO
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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