SearchMissouri224Z00000X

Jaden Mocumbi, COTA/L

NPI 1316604002 · on the registry since 2021 · sole proprietor

Practice

Address
322 Old State Rd
Ellisville, MO 63021
Phone
(636) 227-3431
Organisation at this address
Ellisville Opco Llc
Bethesda Long Term Care, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri