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Individual
MS. JENNIFER A KOERPER
Active
Individual
MS. JENNIFER A KOERPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2003001988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003001988
MO OT LICENSURE
MO
01
—
R998587733
MO DRIVERS LICENSE
MO
Enumeration date
12/06/2018
Last updated
12/06/2018
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