Individual
OLIVIA GORTMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 CORPORATE LAKE DR, COLUMBIA, MO 65203-7400
(573) 639-2279
Mailing address
103 CORPORATE LAKE DR, COLUMBIA, MO 65203-7400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MO
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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