Individual
MRS. CAROLINE TIPSWORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8660 GRANT RD, ST. LOUIS, MO 63123
(314) 842-3939
Mailing address
8660 GRANT RD, ST. LOUIS, MO 63123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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