Individual
SOPHIA M CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 N GRAND BLVD, SAINT LOUIS, MO 63107-1804
(314) 534-6624
Mailing address
4220 N GRAND BLVD, SAINT LOUIS, MO 63107-1804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
224Z00000X
Occupational Therapy Assistant
Primary
2025017218
MO
Other
Enumeration date
10/24/2023
Last updated
11/24/2025
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