Amanda Theresa Vaicikauskas
Occupational Therapist in Bridgeton, MO. Individual provider (NPI-1).
NPI number1689200727
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1689200727
- Entity type
- Individual (NPI-1)
- Name
- Amanda Theresa Vaicikauskas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2020
- Certification date
- Aug 2, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 2020006487 | MO | Yes |
| 225X00000X | Occupational Therapist | 0000006593 | TN |
Practice location
12349 Depaul DriveSuite 110
Bridgeton, MO 63044
Phone 314-209-7700
Mailing address
12349 Depaul DriveSuite 110
Bridgeton, MO 63044
Phone 314-209-7700
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All 47 Occupational Therapist providers in Bridgeton · All 1,440 providers in Bridgeton
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