IndividualActive
Beth Damke, COTA/L
NPI 1255647772 · Specialist · Hazelwood, MO
Provider details
- NPI number
- 1255647772
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2009014390 (MO)
Specialties & taxonomies
Other Service Providers
Practice location
1 Village Square Ctr Ste a
Hazelwood, MO 63042-1817
Phone: (314) 731-4555
Fax: (314) 557-6110
Approximate (ZIP-level) locationGet directions
Mailing address
942 Scotch Pine Trl
Foristell, MO 63348-1522
Registry dates
- Enumerated
- 2010-08-21
- Last updated
- 2010-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.