Gina Marie Elmendorf, OTR/L Valid NPI

Individual provider · Pediatric Occupational Therapist · O Fallon, MO

NPI

1588008353

Type

Individual (Type 1)

Primary specialty

Pediatric Occupational Therapist (Occupational Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225XP0200X

License number

2012028513 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2013-04-24

Last updated

2013-04-24