Most Relevant Information
Provider Data
| NPI Number: | 1003505785 |
| Provider Name: | ELLEN CAMPBELL CHOC MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2015032864 |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
15826 CLAYTON RD
ELLISVILLE
MO
63011
Practice Location Phone/Fax
| Phone: | 6367792600 |
| Fax: |
Provider Mailing Location
1335 STRASSNER DRIVE
BRENTWOOD
MO
63144
Provider Mailing Phone/Fax
| Phone: | 8773679772 |
| Fax: |