Individual
MY VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 NAZARETH LN, SAINT LOUIS, MO 63129-7600
(314) 487-3950
Mailing address
2 NAZARETH LN, SAINT LOUIS, MO 63129-7600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022011836
MO
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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