Individual
JENNIFER STATELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3530 LACLEDE AVE, SAINT LOUIS, MO 63103-2011
(314) 977-7419
(314) 977-2070
Mailing address
3530 LACLEDE AVE, SAINT LOUIS, MO 63103-2011
(314) 977-7419
(314) 977-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.016150
IL
225100000X
Physical Therapist
PT 3365
CA
Other
Enumeration date
05/04/2007
Last updated
03/09/2017
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