Individual
BAZELAIS SAINT LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
550 S NEGLEY AVE, PITTSBURGH, PA 15232-1658
(484) 813-6009
Mailing address
4000 PARK PLAZA DR APT 4302, PITTSBURGH, PA 15229-3124
(484) 378-5682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P010357
PA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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