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NPI Code Detail

MEDICARE: LINDA BARON MERSCH

MEDICARE: LINDA BARON MERSCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist001151MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001151OTHERMOOCCUPATIONAL THERAPIST

General Provider Information

NPI Number : 1962675884
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA BARON MERSCH
Provider Business Mailing Address
First Line : 3606 CANDLEWYCK CLUB DR APT G
Second Line :
City : FLORISSANT
State : MO
Zip : 63034-2568
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10600 LEWIS AND CLARK BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63136-6005
Country : US
Telephone Number : 314-340-6389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2008
Last Update Date : 04/11/2008

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Directions to “ LINDA BARON MERSCH ” Practice Location

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