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Individual

MR. SHAWN BENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
938 ABBEVILLE DR, SAINT LOUIS, MO 63130-2701
(314) 616-4547
(314) 991-2584
Mailing address
938 ABBEVILLE DR, SAINT LOUIS, MO 63130-2701
(314) 616-4547
(314) 991-2584

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004473
MO

Other

Enumeration date
07/26/2008
Last updated
07/26/2008
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