Individual
TERI DENE JESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3511 CLINTON PL, LAWRENCE, KS 66047-2196
(785) 331-3783
Mailing address
PO BOX 3727, LAWRENCE, KS 66046-0727
(877) 906-0924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700838
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117007
BCBS OF KS
KS
01
—
26031032
BCBS KC
KS
Enumeration date
05/12/2006
Last updated
07/08/2007
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