Individual
ABIGAIL DEANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5 DOCUMENT DR, SAINT LOUIS, MO 63114-6100
(314) 970-9115
Mailing address
4300 MARYLAND AVE, SAINT LOUIS, MO 63108-2704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025027137
MO
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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