Individual
ALEXIS MARIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 BIG BEND BLVD, SAINT LOUIS, MO 63122-6521
(314) 968-5460
Mailing address
11822 KRAMPER LN, SAINT LOUIS, MO 63128-1432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021014173
MO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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