Individual
MR. GRAYSON OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 289-6131
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1669
(314) 289-6131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022047485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470139018
—
MO
Enumeration date
10/17/2019
Last updated
04/17/2025
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