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Individual

SASHA ALESANDRA VILLALTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1758
(314) 270-7700
Mailing address
1519 TOWER GROVE AVE, SAINT LOUIS, MO 63110-2232
(305) 773-2074

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022016428
MO

Other

Enumeration date
05/20/2022
Last updated
05/20/2022
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