Individual
CAROLYN MARIE PLACHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4019 SHENANDOAH AVE, SAINT LOUIS, MO 63110-3928
(314) 302-7413
Mailing address
2 NAZARETH LN, SAINT LOUIS, MO 63129-7600
(314) 487-3950
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005487
MO
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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