Organization
STRIDE THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIANNA D. FERNANDEZ (OCCUPATIONAL THERAPIST, OWNER)
(314) 319-0034
Entity
Organization
Contact information
Practice address
3407 S JEFFERSON AVE STE 145, SAINT LOUIS, MO 63118-3119
(314) 833-8848
Mailing address
8506 ANNA AVE, SAINT LOUIS, MO 63114-5205
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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