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

Nicole Ewing

Individual provider Occupational Therapist · NPI 1619212990

Nicole Ewing is an Occupational Therapist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012

Practice location Address checks out

850 Country Manor Ln
Saint Louis, MO 63141-6651
Phone: (314) 434-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2000144265 (MO)

Record details

NPI number1619212990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2012
Last updated in NPPESNovember 28, 2012
Mailing address1211 Port Royal Dr, Saint Louis, MO 63146-5637

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