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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN LEI MODDE, PT, DPT

Active

IAN LEI MODDE, PT, DPT is a Pediatric Occupational Therapy healthcare provider located in MARYLAND HEIGHTS, Missouri. NPI 1962279653 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · MARYLAND HEIGHTS, MO

Registration Details

NPI Number
1962279653
Provider Type
Individual
Gender
Male
NPI Issued
Dec 4, 2023 (2.6993166216967 yrs)
Last Updated
Dec 4, 2023

Practice Information

Address
11365 DORSETT RD
MARYLAND HEIGHTS, MO, 630433411
Browse MO providers · Browse ZIP 63043
Phone
3148726400
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in MARYLAND HEIGHTS, MO

Name Credential NPI
MRS. COLLEEN O'KEEFE GUND MSPTPCS 1134269566
MRS. PAMELA MICHELLE MACON MPT 1467597153
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.