LANISHA MARTIN

SAINT LOUIS, MO
NPI1477291839
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2019023233)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
LANISHA MARTIN COTA/L
4068 MAFFITT AVE
SAINT LOUIS, MO 63113-3235
Phone number: 314-933-0155
Mailing Address
LANISHA MARTIN COTA/L
4068 MAFFITT AVE
SAINT LOUIS, MO 63113-3235
Phone number: 314-933-0155
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