Provider Demographics
NPI:1235348418
Name:EICHLER, JEANNE ROSS (MT, MOT, OTR/L, MT)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:ROSS
Last Name:EICHLER
Suffix:
Gender:F
Credentials:MT, MOT, OTR/L, MT
Other - Prefix:MS
Other - First Name:JEANNE
Other - Middle Name:DANIELLE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT, MOT, OTR/L, MT
Mailing Address - Street 1:3437 CAROLINE ST
Mailing Address - Street 2:DOISY COLLEGE OF HEALTH SCIENCES ROOM 2023
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1111
Mailing Address - Country:US
Mailing Address - Phone:314-977-8514
Mailing Address - Fax:314-977-5414
Practice Address - Street 1:3437 CAROLINE ST
Practice Address - Street 2:DOISY COLLEGE OF HEALTH SCIENCES ROOM 2023
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1111
Practice Address - Country:US
Practice Address - Phone:314-977-8514
Practice Address - Fax:314-977-5414
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT0003333225X00000X
VA0119004136225X00000X
DC010000383225X00000X
MO225X00000X
LA225X00000X
NC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist