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1033787775
ANDRA DAVENPORT
SAINT LOUIS, MO
NPI
1033787775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MO 2020025191)
Enumeration Date
2021-06-17
Last Update Date
2024-02-12
Business Address
ANDRA DAVENPORT
7566 CORNELL AVE
SAINT LOUIS, MO 63130-2813
Phone number: 314-706-1842
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Mailing Address
ANDRA DAVENPORT
THERAPY RELIEF AT HOPE 11971 WESTLINE INDUSTRIAL STE. 103
SAINT LOUIS, MO 63146
Phone number: 636-242-5400
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