NPI 1013788330

Jennifer L Berryessa, COTAL

Practitioner Occupational Therapy Assistant Republic, MO

Practice location

Address: 2673 E Sawyer Rd, Republic, MO 65738-7574
Phone: (417) 324-7646
Mailing address: 1511 W Snider St, Ozark, MO 65721-7371

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2003014810 (MO)

Other Occupational Therapy Assistant providers in Missouri →

Registry record

NPI: 1013788330
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2024
Record last updated: 15 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.