Individual
MICHELLE NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA-L
Contact information
Practice address
250 S NEW FLORISSANT RD, FLORISSANT, MO 63031-6716
(314) 830-7950
Mailing address
11922 HOLLY BROOK DR, MARYLAND HEIGHTS, MO 63043-1348
(314) 705-2646
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1999140473
MO
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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