Individual
RENATA ANUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
7905 CAMELOT LN, UNIT 1, SAINT LOUIS, MO 63123-1955
(314) 732-7017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012026713
MO
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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