Beth Ann Damke COTA/L

NPI 1255647772 - Specialist - 174400000X

NPI Details
NPI 1255647772
Gender Female
Enumeration Date 08/21/2010
Last Updated 08/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1 VILLAGE SQUARE CTR STE A
HAZELWOOD MO, 63042-1817, US
Phone (314) 731-4555
Fax (314) 557-6110
Business Location
942 SCOTCH PINE TRL
FORISTELL MO, 63348-1522, US
Phone (314) 566-0282
Fax
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 2009014390
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According to our database, Beth Ann Damke COTA/L NPI is 1255647772, taxonomy code is 174400000X and license number is 2009014390, license state is located at Missouri. Beth Ann Damke COTA/L physically located at 1 Village Square Ctr Ste A, Hazelwood MO, 63042-1817. NPI Number Beth Ann Damke COTA/L has the Individual type.

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1255647772 NPI number is provided on an as is basis without warranty of any kind. 1255647772 is maintained by the National Plan & Provider Enumeration System. The contents of Beth Ann Damke COTA/L are for informational purposes only.