Individual
ALEXA DANIELLE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
812 AMANDA DR, SAINT PETERS, MO 63376-5534
(636) 441-0826
Mailing address
812 AMANDA DR, SAINT PETERS, MO 63376-5534
(636) 441-0826
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
464465
MO
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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