Individual
MRS. MAURA CELLA MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
404 MAIN STREET, FENTON, MO 63026
(314) 303-9568
Mailing address
7733 FORSYTH BLVD, ST. LOUIS, MO 63105
(800) 677-1238
(314) 863-0769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2002026731
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002026731
LICENSE #
MO
Enumeration date
08/20/2006
Last updated
09/24/2008
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