Individual
HEATHER JOSEPHINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 633-5300
Mailing address
10762 CATHY DR, SAINT LOUIS, MO 63123-6013
(314) 379-8808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024040497
MO
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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