Individual provider · Type 1 NPI

Jordan Dietl, OT

Occupational Therapist · Ballwin, MO

NPI number 1538522693 Active

Practice location

13610 Barrett Office Dr Ste 104
Ballwin, MO 63021-7818

Call (314) 822-5107 Map

Fax (314) 822-5106

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2015033703 (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 1538522693

Jordan Dietl, OT's National Provider Identifier is 1538522693, issued on Apr 5, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Ballwin, MO. The record was last updated on Apr 5, 2016.