Individual
JAMIE GATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1337 W GRAND ST, GALLATIN, MO 64640-8320
(660) 663-2197
Mailing address
PO BOX 262, SAINT CHARLES, MO 63302-0262
(314) 210-4195
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2007010888
MO
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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