Individual
MRS. TINA PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 TIMBER RUN DR, SAINT LOUIS, MO 63146-4482
(314) 469-0606
Mailing address
811 QUEEN ANNE PL, SAINT LOUIS, MO 63122-3143
(314) 822-8051
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001475
MO
Other
Enumeration date
01/30/2007
Last updated
07/09/2007
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