Individual provider · Type 1 NPI

Beth Ann Damke, COTA/L

Specialist · Hazelwood, MO

NPI number 1255647772 Active

Practice location

1 Village Square Ctr Ste A
Hazelwood, MO 63042-1817

Call (314) 731-4555 Map

Fax (314) 557-6110

Mailing address

942 Scotch Pine Trl
Foristell, MO 63348-1522

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2009014390 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255647772

Beth Ann Damke, COTA/L's National Provider Identifier is 1255647772, issued on Aug 21, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hazelwood, MO. The record was last updated on Aug 21, 2010.