Individual
AUDORIS FAITH OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 GRANDVIEW PLAZA SHOPPING CTR, FLORISSANT, MO 63033-6105
(618) 960-5790
Mailing address
712 N CHARLES ST, BELLEVILLE, IL 62220-4107
(618) 960-5790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
2001006420
MO
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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