Individual
ALEXA LYNNE TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10332 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5922
(314) 567-4707
(314) 567-4505
Mailing address
10332 OLD OLIVE STREET RD, CREVE COEUR, MO 63141-5922
(314) 567-4707
(314) 567-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019024928
MO
Other
Enumeration date
08/08/2019
Last updated
09/09/2024
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