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Contact Information

LA ATIS, COTA
1065 DAUPHIN LN
FLORISSANT, MO63033
 Phone: 314-630-7326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LA ATIS · (Male)

NPI # 1306193438
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/08/2012
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012006010
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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