Individual
JACQUELINE NICOLE CRUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1514 MCCAUSLAND AVE APT 1N, SAINT LOUIS, MO 63117-1960
(314) 707-2977
Mailing address
4222 SAINT LINUS LN, SAINT ANN, MO 63074-1115
(314) 707-2977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022022885
MO
Other
Enumeration date
08/09/2023
Last updated
06/12/2024
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