Individual
MRS. JESSIE A ELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
214 HARTMAN PL STE 100, SAINT CLAIR, MO 63077-2458
(636) 629-6161
Mailing address
4601 BERGAMOT DR, HILLSBORO, MO 63050-2558
(636) 524-2876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017005582
MO
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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