Individual
MISS RACHEL CAREY STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
812 AIRPORT RD, GODFREY, IL 62035-2920
(618) 407-6765
Mailing address
PO BOX 504469, SAINT LOUIS, MO 63150-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012722
IL
225X00000X
Occupational Therapist
2018032461
MO
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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