Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2000157830 | MO |
NPI | 1093099657 |
---|---|
Provider Name | Ann Kelly Schnitzmeier |
First Address | Saint Louis, MO 63122-4710 |
Second Address | Saint Louis, MO 63129-4715 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2011 |
Last Update Date | 30/09/2011 |