Provider Demographics
NPI:1487051215
Name:SEIGEL, ANN ELIZABETH (COTA/L)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:ELIZABETH
Last Name:SEIGEL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR1 BOX 1B
Mailing Address - Street 2:
Mailing Address - City:RUTLEDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63563
Mailing Address - Country:US
Mailing Address - Phone:417-209-3225
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 1B
Practice Address - Street 2:
Practice Address - City:RUTLEDGE
Practice Address - State:MO
Practice Address - Zip Code:63563-9701
Practice Address - Country:US
Practice Address - Phone:417-209-3225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008016511224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant