Individual
BETHANY JEAN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10242 MADISON OAKS RD, FESTUS, MO 63028-5520
(314) 803-3101
Mailing address
10242 MADISON OAKS RD, FESTUS, MO 63028-5520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021039744
MO
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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