Individual
JORDYN EHLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 TOWN AND COUNTRY MARKET PL, WARRENTON, MO 63383-1372
(314) 398-1357
Mailing address
30900 BONNIE BELL DR, WARRENTON, MO 63383-4161
(314) 398-1357
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019029986
MO
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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