Individual
CASEY MITTELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 COUNTRY CLUB PLAZA DR, SAINT CHARLES, MO 63303-3859
(636) 724-1127
Mailing address
873 FOXSPRINGS DR APT N, CHESTERFIELD, MO 63017-1792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021027755
MO
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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