Individual
JACQUELYN RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1700 S HUDSON AVE, AURORA, MO 65605-2717
(417) 678-2165
Mailing address
1090 E 13TH ST, CASSVILLE, MO 65625-2010
(417) 342-8148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018012945
MO
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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