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Individual

LYNDSEY MUELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12430 TESSON FERRY RD, SAINT LOUIS, MO 63128-2702
(314) 495-5437
Mailing address
7532 TERRI LYNN DR, SAINT LOUIS, MO 63123-1666

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2006024004
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061017130324227
MO
Enumeration date
02/16/2007
Last updated
07/08/2007
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