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Individual

JENNIFER ROSE MARTIN FELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR,L

Contact information

Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-2734
(573) 815-2605
Mailing address
3008 JOSHUA TREE CT, COLUMBIA, MO 65202-3453
(573) 886-5551

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004019119
MO

Other

Enumeration date
02/01/2007
Last updated
07/08/2007
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