Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 003270 | MO |
NPI | 1144309774 |
---|---|
Provider Name | Darla J Freiner |
First Address | O Fallon, MO 63368-8220 |
Second Address | Ofallon, MO 63366 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 29/12/2018 |