Individual
MS. CARRIE ELIZABETH COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
4455 DUNCAN AVE, ST LOUIS, MO 63110
(314) 658-3800
(314) 633-8419
Mailing address
11701 BORMAN DR, STE 280, ST LOUIS, MO 63146
(314) 983-9555
(314) 983-9444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1999134938
MO
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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