Individual
MIKE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 CITYPLACE DR, SUITE 200, SAINT LOUIS, MO 63141-7096
(636) 220-6334
Mailing address
2 CITYPLACE DR, SUITE 200, SAINT LOUIS, MO 63141-7096
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
004013
MO
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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