| NPI | 1912269705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN JOST Manager 636-466-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 225XH1300X Occupational Therapist, Human Factors | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2014-01-17 |