Individual
MRS. THERESA MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4444 FOREST PARK AVE, STE 2210, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 289-6131
Mailing address
4444 FOREST PARK AVE, CB 8505, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 286-1601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001177
MO
Other
Enumeration date
03/16/2007
Last updated
06/13/2019
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