Individual
MS. JEQUEITA MONIQUE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
694 GREENWAY MANOR DR, APT B, FLORISSANT, MO 63031-1387
(314) 243-3734
Mailing address
694 GREENWAY MANOR DR, APT B, FLORISSANT, MO 63031-1387
(314) 243-3734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008025678
MO
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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