Individual
TAMMY LEAH JEBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(000) 000-0000
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022041374
MO
225X00000X
Occupational Therapist
2022041374
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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