Individual
LEAH BRIANNE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2840 W CLAY ST, SAINT CHARLES, MO 63301-2536
(636) 493-9235
(636) 493-9236
Mailing address
645 N 1ST ST, WOOD RIVER, IL 62095-1506
(618) 225-0235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011014321
MO
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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