Individual
MS. EMILY K SOMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 627-7219
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1669
(314) 627-7219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008005769
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470148671
—
MO
Enumeration date
04/03/2008
Last updated
04/17/2025
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