Individual
EMILY GONTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 554-7515
Mailing address
605 ALASKA ST, STAUNTON, IL 62088-1604
(217) 556-3713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056014386
IL
225X00000X
Occupational Therapist
Primary
2021037301
MO
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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