| NPI | 1427180413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE HECKMAN Manager 314-482-8099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 001270) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |