Individual
MRS. ELLEN MARIE VENTURELLA-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTRL
Contact information
Practice address
5500 CHAUVEAU DR, SAINT LOUIS, MO 63129-2320
(314) 368-0372
Mailing address
5500 CHAUVEAU DR, SAINT LOUIS, MO 63129-2320
(314) 368-0372
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004218
MO
Other
Enumeration date
01/23/2007
Last updated
08/27/2007
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