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Contact Information

LIFETIME REDESIGN OT, PLLC
12395 OLIVE BLVD STE 200
SAINT LOUIS, MO63141-5465
 Phone: 646-319-9017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for LIFETIME REDESIGN OT PLLC · (Female)

NPI Number 1013666403
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2022
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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