Madison Baniak
NPI #1073182309 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1073182309
- Entity Type
- Individual
- Name
- Madison Baniak
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jun 21, 2021
- Last Updated
- Jun 21, 2021
Practice Location
- Address
- 1408 GRANITE RIDGE DR
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63303-1621
- Phone
- (314) 306-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
Additional Practice Locations
456 N New Ballas Rd
Saint Louis, MO, 63141-6831
(201) 421-8229
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