NPI 1194168765
Donna Margaret Carrillo, MAT
Practice location
- Address
- 15834 Clayton Rd., Ellisville, MO 63011
- Phone
- (636) 227-2339
- Fax
- (636) 227-8711
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1194168765
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Apr 2013
- Record last updated
- 12 Apr 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.