Individual provider · Type 1 NPI

Elyse Nicole Wingbermuehle, OTR/L

Occupational Therapist · Fenton, MO

NPI number 1114589660 Active

Practice location

1393 Bowles Ave
Fenton, MO 63026-2355

Mailing address

1505 Prospector Trl
Wentzville, MO 63385-4925

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2010031848 (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 1114589660

Elyse Nicole Wingbermuehle, OTR/L's National Provider Identifier is 1114589660, issued on Jul 5, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fenton, MO. The record was last updated on Jul 5, 2019.