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Individual

MRS. DONNA KELLY JURGENSMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
701 WOLFPRIDE DR, NEWBURG, MO 65550-7824
(573) 762-9653
Mailing address
17275 MARIES ROAD 521, VICHY, MO 65580-7182
(573) 263-3215

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
308511
MO

Other

Enumeration date
03/18/2026
Last updated
03/18/2026
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