Individual
JULIE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
411 ADELEINE, COLUMBIA, IL 62236-2758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018030808
MO
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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