Individual
MS. JANE LAVELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5232 OAKLAND AVE, DEPT OCCUPATIONAL THERAPY, SAINT LOUIS, MO 63110-1436
(314) 286-1669
(314) 627-7219
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-1669
(314) 627-7219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021037286
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470139025
—
MO
Enumeration date
02/20/2024
Last updated
04/17/2025
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