NPI 1265797955

Theresa Ann Owens, COTA

Practitioner Occupational Therapy Assistant O Fallon, MO

Practice location

Address: 1998 Hanley Rd, O Fallon, MO 63368-6732
Phone: (636) 625-1005

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Registry record

NPI: 1265797955
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2012
Record last updated: 9 Jul 2012

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.