Individual
STEPHANIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6720 BEAR CREEK DR, SAINT LOUIS, MO 63129-5346
(314) 724-4816
Mailing address
6720 BEAR CREEK DR, SAINT LOUIS, MO 63129-5346
(314) 724-4816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2001003734
MO
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
2001003734
MO
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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