Individual provider · Type 1 NPI

Camille Antonacci, OT

Occupational Therapist · St. Louis, MO

NPI number 1619483153 Active

Practice location

4444 Forest Park Ave, Dept Occupational Therapy, Ste 2210
St. Louis, MO 63108-2212

Call (314) 286-1669 Map

Fax (314) 627-7219

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2022020088 (MO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1619483153

Camille Antonacci, OT's National Provider Identifier is 1619483153, issued on Dec 20, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 15, 2025.