Individual
TERRY ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
#1 CHILDREN'S PLACE, 4 EAST 2, ST. LOUIS, MO 63110
(314) 454-6154
Mailing address
215 N SAPPINGTON RD, SAINT LOUIS, MO 63122-4846
(314) 623-5282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000166887
MO
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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