Jennifer Andrews
Individual provider Active NPI Occupational Therapy Assistant · Saint Louis, MO
NPI 1275935108 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1275935108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2014022443 (MO)
- Practice address
- 11960 Westline Industrial Dr
Suite 201
Saint Louis, MO 63146-3209 - Phone
- (866) 433-9555
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014022443 | MO | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2014022443 | MO | Yes |
Addresses
Primary practice location
11960 Westline Industrial Dr
Suite 201
Saint Louis, MO 63146-3209
Mailing address
1611 Springmill Dr
Wentzville, MO 63385-3027
Other providers in Saint Louis, MO
- Bianca Andrews
- Caitlin Gayle Andrews
- Christina Zanti Andrews
- Duana Andrews
- Emily Rose Andrews
- Marisa Vineyard Andrews
- Nathan Andrews
- Sherry Elizabeth Andrews
- Wegdan Andrews
- Andrea Andric
All providers in Saint Louis, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.