Rackovan, Mary V

Rackovan, Mary V is an individual health care provider with primary practice located at 7601 Watson Rd , Saint Louis MO 63119-5001. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Rackovan, Mary V can be contacted via phone (314) 961-8000.

Contact Information

Primary practice address
7601 Watson Rd Saint Louis MO 63119-5001
Phone: (314) 961-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 004970 Missouri

Profile Details

NPI number 1891991964
LBN Legal business name Rackovan, Mary V
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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