IndividualActive
Amanda Eldridge, COTA/L
NPI 1487320933 · Occupational Therapy Assistant · Rolla, MO
Provider details
- NPI number
- 1487320933
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2009025180 (MO)
Mailing address
1519 Pershing Pl Apt D
Rolla, MO 65401-2675
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2021-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.