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Individual

MRS. EMILIE CLAIRE EDWARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR L

Contact information

Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6154
(314) 454-2380
Mailing address
551 WARREN AVE, SAINT LOUIS, MO 63130-4155
(312) 401-0185

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012001591
MO

Other

Enumeration date
01/23/2007
Last updated
10/25/2012
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