Individual
SHERRY NICOLE WOOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11701 BORMAN DR, SAINT LOUIS, MO 63146-4100
(314) 983-9555
Mailing address
7005 GREENHOLLY DR, SAINT LOUIS, MO 63123-1609
(314) 667-8485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000169643
MO
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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