Individual
TAMARA PEARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12930 SOMERTON RIDGE DR, CREVE COEUR, MO 63141-6253
(314) 434-5200
Mailing address
122930 SOMERTON RIDGE DR, CREVE COEUR, MO 63141
(314) 434-5200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2001022659
MO
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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