Individual
MR. MATTHEW THOMAS NOSSER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AM, ULCM
Contact information
Practice address
5017 WARREN RD, IMPERIAL, MO 63052
(314) 701-6390
Mailing address
5017 WARREN RD, IMPERIAL, MO 63052
(314) 701-6390
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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