Individual provider · Type 1 NPI

Ellie Park, OTD

Occupational Therapist · St. Louis, MO

NPI number 1083287056 Active

Practice location

4921 Parkview Pl, Ste 6F
St. Louis, MO 63110-1032

Call (314) 286-1669 Map

Fax (314) 747-3662

Mailing address

4444 Forest Park Ave, Cb 8505
St. Louis, MO 63108-2212

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2020006967 (MO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1083287056

Ellie Park, OTD's National Provider Identifier is 1083287056, issued on Jul 19, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2021.