Individual
RACHEL L MANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4335 W PINE BLVD, SAINT LOUIS, MO 63108-2205
(314) 615-9615
Mailing address
4951 BACARDI LN, APT B, SAINT LOUIS, MO 63129-1334
(314) 471-2997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011004638
MO
Other
Enumeration date
06/02/2012
Last updated
06/02/2012
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