Amanda Slater, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Saint Clair, MO
NPI 1497563795 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1497563795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2024045473 (MO)
- Practice address
- 1773 W Springfield Rd
Saint Clair, MO 63077-4420 - Phone
- (636) 629-3571
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024045473 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2024045473 | MO | Yes |
Addresses
Primary practice location
1773 W Springfield Rd
Saint Clair, MO 63077-4420
Mailing address
427 Caddy CT
Saint Clair, MO 63077-2466
Phone (314) 606-4138
Other providers in Saint Clair, MO
- Jenifer Lynn Rhodes
- Anthony Riemann
- Amanda Kay Robbins
- Patrick J Rose
- Natalie Schroeder
- Patrick Raymond Smith
- St Clair Allergy-Asthma
- St Clair Family Dentistry
- St Clair Nursing LLC
- St Clair Physical Therapy Inc
All providers in Saint Clair, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.