Individual
SABRINA GORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1007 CHARTRES AVE, SAINT LOUIS, MO 63132-4015
(917) 929-7146
Mailing address
1007 CHARTRES AVE, SAINT LOUIS, MO 63132-4015
(917) 929-7146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012011822
MO
Other
Enumeration date
10/18/2015
Last updated
10/18/2015
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