Individual
JESSICA OTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
13230 MANCHESTER RD, DES PERES, MO 63131-1706
(314) 821-2886
Mailing address
16508 BIRCH FOREST DR, WILDWOOD, MO 63011-1831
(314) 435-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2007004516
MO
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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