Basic Information
| Provider Information | |||||||||
| NPI: | 1124137880 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STAPINSKI | ||||||||
| FirstName: | CHARLES | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 746 SAMOA | ||||||||
| Address2: | |||||||||
| City: | CRESTWOOD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 63126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3148222646 | ||||||||
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| Practice Location | |||||||||
| Address1: | 376 FESTUS CENTER DRIVE | ||||||||
| Address2: | |||||||||
| City: | FESTUS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 63028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6369312100 | ||||||||
| FaxNumber: | 6369312300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 2000155789 | MO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.