Individual
MS. MICHELE TINTERA FOULKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5000 MANCHESTER AVE, ST LOUIS, MO 63110
(314) 747-5000
(314) 747-5867
Mailing address
5000 MANCHESTER AVE, ST LOUIS, MO 63110
(314) 747-5000
(314) 747-5866
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
116511
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
116511
MO
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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