Individual
DONNA MAUREEN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 SUGAR MAPLE LN, SAINT CHARLES, MO 63303-5740
(636) 946-8887
(636) 946-4718
Mailing address
10837 MIDLAND BLVD, SAINT LOUIS, MO 63114-1841
(314) 426-4720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000402
MO
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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