Healthcare Provider Details

I. General information

NPI: 1346151685
Provider Name (Legal Business Name): VICTORIA ANN RIORDAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DOCUMENT DR
SAINT LOUIS MO
63114-6100
US

IV. Provider business mailing address

3441 HUMPHREY ST APT A
SAINT LOUIS MO
63118-2720
US

V. Phone/Fax

Practice location:
  • Phone: 314-970-9115
  • Fax:
Mailing address:
  • Phone: 314-243-9821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2026042812
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: