Jaden Mocumbi, COTA/L
NPI #1316604002 in Ellisville, Missouri
Provider Information
- NPI Number
- 1316604002
- Entity Type
- Individual
- Name
- Jaden Mocumbi, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Nov 17, 2021
- Last Updated
- Nov 17, 2021
Practice Location
- Address
- 322 OLD STATE RD
- City
- Ellisville
- State
- Missouri
- ZIP Code
- 63021-5917
- Phone
- (636) 227-3431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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