Provider Demographics
NPI:1952647349
Name:BROWN, MICHELE ALAINE (MS OTR/L)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:ALAINE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1662 KIRCHER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-5456
Mailing Address - Country:US
Mailing Address - Phone:314-607-8898
Mailing Address - Fax:
Practice Address - Street 1:1662 KIRCHER DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-5456
Practice Address - Country:US
Practice Address - Phone:314-607-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002008524225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation