Organization
STRIDE THERAPY AND WELLNESS LLC
Active
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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