St. Louis University
NPI #1164767919 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1164767919
- Entity Type
- Organization
- Organization Name
- St. Louis University
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Dec 5, 2012
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 1438 S GRAND BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63104-1027
- Phone
- (314) 977-6082
Authorized Official
- Name
- ALYCE LANXON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 977-6828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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