Individual
TIEARIES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8621 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1323
(314) 267-4558
Mailing address
8621 RIVERVIEW BLVD, SAINT LOUIS, MO 63147-1323
(314) 267-4558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20100006868
MO
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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