Individual
DEBRA A LANTZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16216 BAXTER RD, CHESTERFIELD, MO 63017-4770
(314) 454-5420
(314) 454-5425
Mailing address
16216 BAXTER RD, CHESTERFIELD, MO 63017-4770
(314) 454-5420
(314) 454-5425
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000253
MO
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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