Provider Demographics
NPI:1841506136
Name:FALCETTI, MARY GEDERS (OTR/L)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:GEDERS
Last Name:FALCETTI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:307 S WOODS MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3418
Mailing Address - Country:US
Mailing Address - Phone:314-576-5545
Mailing Address - Fax:314-576-1354
Practice Address - Street 1:307 S WOODSMILL RD.
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3418
Practice Address - Country:US
Practice Address - Phone:314-576-5545
Practice Address - Fax:312-457-6513
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOOC000304225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist