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Individual

MRS. JENNIFER BETH PELIKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5323 VILLE MARIA LN, HAZELWOOD, MO 63042-1143
(314) 770-2234
Mailing address
15955 NEW HALLS FERRY RD, FLORISSANT, MO 63031-1227
(314) 953-5000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004698
MO

Other

Enumeration date
02/12/2007
Last updated
07/08/2007
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