Individual
JENNIFER HAEFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
50 GAY AVE, CLAYTON, MO 63105-1676
(314) 290-8500
Mailing address
3951 DOVER PL, SAINT LOUIS, MO 63116-3213
(314) 313-3177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117692
MO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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