Individual
MRS. TRACI ANN LIPIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5101 MCREE AVE, SAINT LOUIS, MO 63110-2019
(314) 776-3300
Mailing address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003565
MO
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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