Individual
MS. MARLENE M. MESTRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
801 N 11TH ST, MEDICAID DEPARTMENT, SAINT LOUIS, MO 63101-1015
(314) 345-2535
(314) 345-2653
Mailing address
801 N 11TH ST, MEDICAID DEPARTMENT, SAINT LOUIS, MO 63101-1015
(314) 345-2535
(314) 345-2653
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003798
MO
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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