Individual
MRS. MOLLIE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
(636) 922-7600
Mailing address
2050 LINDSAY LN, FLORISSANT, MO 63031-4356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012018235
MO
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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