Individual
JEROME SATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 ELLIS BLVD, APT B20, JEFFERSON, MO 65101
(573) 234-6597
Mailing address
505 ELLIS BLVD, APT B20, JEFFERSON CITY, MO 65101-2109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005016871
MO
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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