Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 201011148 | MO |
NPI | 1356821268 |
---|---|
Provider Name | Rene Uhlig |
First Address | Saint Louis, MO 63123-7211 |
Second Address | Saint Louis, MO 63123-7211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |