Individual
ELIZABETH ANNE SHEWMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1115 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 634-3070
Mailing address
404 W VERSAILLES AVE APT B, CALIFORNIA, MO 65018-2250
(417) 454-9775
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2023046428
MO
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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