Provider Demographics
NPI:1730299769
Name:ROBSON, EMILY NILGES (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:NILGES
Last Name:ROBSON
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:ERIN
Other - Last Name:NILGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:1345 DE NOAILLES
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63011
Mailing Address - Country:US
Mailing Address - Phone:636-207-1732
Mailing Address - Fax:
Practice Address - Street 1:14825 N OUTER FORTY RD
Practice Address - Street 2:STE 300
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005
Practice Address - Country:US
Practice Address - Phone:636-812-1211
Practice Address - Fax:636-812-0159
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014205225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist