Individual
JENNIFER BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CLVT
Contact information
Practice address
1 JEFFERSON BARRACKS DRIVE, LOW VISION CLINIC, ROOM 1A-110, SAINT LOUIS, MO 63125-4199
(314) 652-4100
Mailing address
8310 MAYLOR DR, SAINT LOUIS, MO 63123-3442
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
225XL0004X
Low Vision Occupational Therapist
Primary
2010008354
MO
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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