Individual
ANNA MCILWAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1001 S KIRKWOOD RD STE 150, KIRKWOOD, MO 63122-7251
(314) 821-7554
Mailing address
5528 PERSHING AVE APT 408, SAINT LOUIS, MO 63112-1791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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