Individual
JAMIE NICOL STOPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 INTERSTATE DR, WENTZVILLE, MO 63385-4725
(636) 445-5190
Mailing address
8 COTILLION CT, O FALLON, MO 63368-8131
(636) 284-0882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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