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Individual

LAURA GEPPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
101 LAKE FOREST DR, BELLEVILLE, IL 62220-2727
(618) 873-3710
Mailing address
5343 BELLEVILLE CROSSING ST # 64, BELLEVILLE, IL 62226-3108
(618) 873-3710

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006916
IL
225X00000X
Occupational Therapist
2000146954
MO

Other

Enumeration date
09/11/2023
Last updated
11/28/2023
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