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1437640802
MICHAEL A FALLWELL
SAINT LOUIS, MO
NPI
1437640802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 000305)
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
MICHAEL A FALLWELL OT
3148 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1118
Phone number: 314-664-4448
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Mailing Address
MICHAEL A FALLWELL OT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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