Individual
JODI ELAINE GLOSEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
840 W PRIDE DR, WASHINGTON, MO 63090-1207
(636) 390-9150
Mailing address
16326 CONCORD HILL RD, MARTHASVILLE, MO 63357-1999
(636) 359-9997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021004886
MO
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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