Whalio Doctors

NPI 1306193438

La Atis, COTA

Practitioner Occupational Therapy Assistant Florissant, MO

Practice location

Address
1065 Dauphin Ln, Florissant, MO 63033
Phone
(314) 630-7326
Mailing address
1065 Dauphin Ln, Florissant, MO 63033-5929

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2012006010 (MO)

Registry record

NPI
1306193438
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Aug 2012
Record last updated
8 Aug 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.