Individual
MRS. JENNIFER LYNN UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 HOSPITAL DRIVE, HANNIBAL REGIONAL HOSPITAL, HANNIBAL, MO 63401
(573) 248-5346
(573) 248-5364
Mailing address
719 COUNTRY CLUB DR, HANNIBAL, MO 63401-3035
(217) 440-4566
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2002018271
MO
Other
Enumeration date
12/15/2006
Last updated
11/02/2010
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