Individual
ELIZABETH ANNE GUDENKAUF I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4545 CENTRAL SCHOOL RD, SAINT CHARLES, MO 63304-7113
(636) 851-4000
Mailing address
320 NEWPORT AVE, WEBSTER GROVES, MO 63119-2443
(314) 962-5321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002247
MO
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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