IndividualActive
Mary Rackovan, COTA
NPI 1891991964 · Contractor · Saint Louis, MO
Provider details
- NPI number
- 1891991964
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 004970 (MO)
Mailing address
1236 S 9th St
Saint Louis, MO 63104-3513
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.