Organization
YOUR SUPPORTIVE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE BUFE OTD (OCCUPATIONAL THERAPIST)
(314) 200-2610
Entity
Organization
Contact information
Practice address
2551 OAKLAND AVE, MAPLEWOOD, MO 63143-1919
(314) 200-2610
(314) 353-9030
Mailing address
2551 OAKLAND AVE, MAPLEWOOD, MO 63143-1919
(314) 200-2610
(314) 353-9030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
10/02/2024
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