Individual
JENNIFER VANDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11660 EDDIE AND PARK RD, SAPPINGTON, MO 63126-3032
(314) 989-8900
Mailing address
11660 EDDIE AND PARK RD, SAPPINGTON, MO 63126-3032
(314) 989-8900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018008756
MO
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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