Provider Demographics
NPI:1114182169
Name:DOW, CHRISTY (MA OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:DOW
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 OLD DES PERES RD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1873
Mailing Address - Country:US
Mailing Address - Phone:314-821-0200
Mailing Address - Fax:314-821-9976
Practice Address - Street 1:1050 OLD DES PERES RD
Practice Address - Street 2:SUITE 40
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1873
Practice Address - Country:US
Practice Address - Phone:314-821-0200
Practice Address - Fax:314-821-9976
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001016365225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics