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NPI Code Detail

MEDICARE: MRS. KAY NOEL LEBEAU OTR

MEDICARE: MRS. KAY NOEL LEBEAU OTR
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
1225XP0200XPediatric Occupational Therapist2007014362MO

General Provider Information

NPI Number : 1982804852
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAY NOEL LEBEAU OTR
Provider Business Mailing Address
First Line : 1016 E LINDEN AVE
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1329
Country : US
Telephone Number : 314-563-0454
Fax Number :
Provider Business Practice Location Address
First Line : 3815 MAGNOLIA AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-4025
Country : US
Telephone Number : 314-776-4320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2007
Last Update Date : 07/19/2007

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Directions to “ MRS. KAY NOEL LEBEAU OTR” Practice Location

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