Provider Demographics
NPI:1659622264
Name:SCHLUNDT, ELIZABETH MARIE (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:SCHLUNDT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6022 S LINDBERGH BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-7040
Mailing Address - Country:US
Mailing Address - Phone:315-845-7751
Mailing Address - Fax:314-845-7752
Practice Address - Street 1:6022 S LINDBERGH BLVD
Practice Address - Street 2:STE 100
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-7040
Practice Address - Country:US
Practice Address - Phone:315-845-7751
Practice Address - Fax:314-845-7752
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2010023526225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist