Individual
TODD ALAN PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
12539 OLIVE BLVD, SAINT LOUIS, MO 63141-6311
(314) 205-2006
(314) 205-2241
Mailing address
12539 OLIVE BVLD, SAINT LOUIS, MO 63141-6311
(314) 205-2006
(314) 205-2241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
915136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
915136
NATIONAL CERTIFICATION
MO
Enumeration date
03/13/2007
Last updated
07/08/2007
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