Individual
EMILY NICOLE STUIFBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 FORSYTH BLVD STE 2300, SAINT LOUIS, MO 63105-1806
(314) 863-7422
Mailing address
2349 MENARD ST APT D, SAINT LOUIS, MO 63104-4264
(512) 924-4364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2009021236
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009021236
STATE OF MISSOURI
MO
Enumeration date
09/09/2010
Last updated
09/09/2010
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