Individual
DR. JESSIE LYNNE BRICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
817 BROWNELL AVE, SAINT LOUIS, MO 63122-3236
(309) 808-0278
Mailing address
817 BROWNELL AVE, SAINT LOUIS, MO 63122-3236
(309) 808-0278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018041573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432058
BLUE CROSS BLUE SHIELD ID
IL
05
—
100044415-62762-01
—
IL
Enumeration date
08/21/2006
Last updated
06/12/2025
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