Individual
DIVA SINCLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(800) 677-1202
Mailing address
4407 E 112TH ST, KANSAS CITY, MO 64137-2438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005009937
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225X00000X
OCCUPATIONAL THERAPIST
MO
Enumeration date
08/31/2007
Last updated
08/31/2007
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