Individual
ARTEZIA MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
649 S WALNUT ST, ST ELIZABETH, MO 65075-2440
(573) 493-2215
Mailing address
435 E STATE ST, SPARTA, IL 62286-1440
(618) 443-1059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012014717
MO
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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