Individual
THALIA JANE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
850 COUNTRY MANOR LN, CREVE COEUR, MO 63141-6651
(314) 434-5900
Mailing address
14855 N OUTER 40 RD, CHESTERFIELD, MO 63017-2026
(636) 733-7330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000522
MO
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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