Individual
MARY A MASSSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
(314) 681-6817
Mailing address
1 MERAMEC BLUFFS DR, BALLWIN, MO 63021-3309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2007015363
MO
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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