Individual
ELIZABETH WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9645 BIG BEND BLVD, SAINT LOUIS, MO 63122-6521
(314) 686-1891
Mailing address
4680 VALMEYER DR, SAINT LOUIS, MO 63128-2469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2016025924
MO
Other
Enumeration date
03/21/2018
Last updated
07/24/2020
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