Individual
MINDY CLODIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14855 N OUTER 40 RD, CHESTERFIELD, MO 63017-2026
(636) 532-0150
Mailing address
4851 LOWNDES DR, SAINT LOUIS, MO 63129-1661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001025
MO
Other
Enumeration date
11/08/2017
Last updated
06/16/2018
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