Individual
EMMA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14651 DALLAS PKWY, DALLAS, TX 75254-7476
(314) 479-6970
Mailing address
236 OAKWOOD AVE, SAINT LOUIS, MO 63119-2411
(314) 479-6970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121133
TX
225X00000X
Occupational Therapist
2020016902
MO
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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