Mrs. Jacquelyn Sample, MEDOTRL
Mrs. Jacquelyn Sample, MEDOTRL is an Occupational Therapist in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
300 Portland StColumbia, MO 65202
Phone: (573) 882-3757
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 004712 (MO) |
|---|
Record details
| NPI number | 1568509867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MEDOTRL |
| Sole proprietor | No |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | August 7, 2009 |
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