| NPI | 1205141082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SHAYNE GOLDSTEIN Sole Proprietor 314-853-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| 225XG0600X Occupational Therapist, Gerontology | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |