Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Gina Marie Elmendorf, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1588008353

Mrs. Gina Marie Elmendorf, OTR/L is a Pediatric Occupational Therapist in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2120 Bryan Valley Commercial Dr
O Fallon, MO 63366-3495
Phone: (636) 240-8096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 2012028513 (MO)

Record details

NPI number1588008353
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESApril 24, 2013

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