Individual
AMY STOYANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1 CHILDRENS PL STE 4E2, SAINT LOUIS, MO 63110-1002
(314) 454-6154
Mailing address
9123 N SWAN CIR, BRENTWOOD, MO 63144-1144
(314) 605-3642
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2011026485
MO
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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