Individual
JESSICA RENEE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
361 MEADOW CREST DR, LABADIE, MO 63055-1982
(314) 520-3326
Mailing address
361 MEADOW CREST DR, LABADIE, MO 63055-1982
(314) 520-3326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MO2003003154
MO
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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