Individual
MRS. LISA M COOSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, MS
Contact information
Practice address
324 JUNGERMANN RD., SAINT PETERS, MO 63376
(636) 928-5327
(636) 928-5322
Mailing address
324 JUNGERMANN RD., SAINT PETERS, MO 63376
(636) 928-5327
(636) 928-5322
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2000161764
MO
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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