Individual
MADISON TAYLOR SOMMERFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1364 VIRGINIA DR, ELLISVILLE, MO 63011-2123
(636) 236-3293
Mailing address
1364 VIRGINIA DR, ELLISVILLE, MO 63011-2123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014025971
MO
Other
Enumeration date
12/19/2016
Last updated
09/22/2021
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