Miranda Lee Hurst, COTA
NPI #1306599402 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1306599402
- Entity Type
- Individual
- Name
- Miranda Lee Hurst, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 2885 TECHNOLOGY DR
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-4123
- Phone
- (636) 614-3310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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