Individual
JAKE GOVRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
456 N NEW BALLAS RD STE 211, SAINT LOUIS, MO 63141-6842
(314) 227-2124
Mailing address
456 N NEW BALLAS RD STE 211, SAINT LOUIS, MO 63141-6842
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2025047546
MO
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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