Provider Demographics
NPI:1174662985
Name:HILLTRUPIANO, SANDRA LEE (OTL)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:LEE
Last Name:HILLTRUPIANO
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:LEE
Other - Last Name:HILLTRUPIANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTL
Mailing Address - Street 1:1237 TARA LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-6780
Mailing Address - Country:US
Mailing Address - Phone:636-447-2742
Mailing Address - Fax:
Practice Address - Street 1:1725 THOELE RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-3254
Practice Address - Country:US
Practice Address - Phone:636-851-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001015379225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist