SIERRA HOLZUM

SAINT PETERS, MO
NPI1780073999
Former NameSIERRA BAECHLE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2013027848)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: HI  OT-1425)
225X00000X Occupational Therapist
(Licence: TX  116583)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
-- SIERRA HOLZUM OTR/L
617 WYATT CT
SAINT PETERS, MO 63376-7175
Phone number: 314-210-4003
Mailing Address
-- SIERRA HOLZUM OTR/L
617 WYATT CT
SAINT PETERS, MO 63376-7175
Phone number: 314-210-4003