Individual
JANINE M GIACONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1034 WINTER PARK DR, FENTON, MO 63026-5689
(631) 626-0499
Mailing address
1034 WINTER PARK DR, FENTON, MO 63026-5689
(631) 626-0499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2017
Last updated
11/26/2018
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