Individual
MR. STEVEN ICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OT/L, CDRS
Contact information
Practice address
16639 WESTGLEN FARMS DR, WILDWOOD, MO 63011-1860
(314) 920-0583
(636) 821-1805
Mailing address
16639 WESTGLEN FARMS DR, WILDWOOD, MO 63011-1860
(314) 920-0583
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
2004025105
MO
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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