Individual
THERESA ANN DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5041 WATERMAN BLVD, APT. 108, SAINT LOUIS, MO 63108-1164
(630) 624-7942
Mailing address
5041 WATERMAN BLVD, APT. 108, SAINT LOUIS, MO 63108-1164
(630) 624-7942
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2007020122
MO
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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