Individual
SIERRA HOLZUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
617 WYATT CT, SAINT PETERS, MO 63376-7175
(314) 210-4003
Mailing address
617 WYATT CT, SAINT PETERS, MO 63376-7175
(314) 210-4003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
116583
TX
225X00000X
Occupational Therapist
Primary
2013027848
MO
225X00000X
Occupational Therapist
OT-1425
HI
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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