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Individual

ELLEN CAMPBELL CHOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
15826 CLAYTON RD, ELLISVILLE, MO 63011
(636) 779-2600
Mailing address
1335 STRASSNER DRIVE, BRENTWOOD, MO 63144
(877) 367-9772

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015032864
MO

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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