Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2000162667 | MO |
Y | 225XH1200X | Occupational Therapist - Hand | 2000162667 | MO |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2000162667 | MO |
NPI | 1326373630 |
---|---|
Provider Name | Mrs. Barbara Drumm Becker |
First Address | Saint Louis, MO 63122-2101 |
Second Address | Saint Louis, MO 63110-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 28/04/2021 |