Individual
JULIE R. SMUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4810 MEADOWS PKWY, WELDON SPRING, MO 63304-2227
(636) 851-6000
Mailing address
12505 LIGHTHOUSE WAY DR APT H, CREVE COEUR, MO 63141-5402
(314) 878-3511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000156974
MO
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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