Individual
MS. POOJA MOHAN JETHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
4444 FOREST PARK AVENUE, WASHINGTON UNIVERSITY IN ST LO, SUITE NO - 2210, CB 8505, ST. LOUIS, MO 63108-2212
(314) 286-1669
(314) 289-6131
Mailing address
4605 LINDELL BOULEVARD, APARTMENT A, ST. LOUIS, MO 63108
(507) 254-1696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
40141
—
Other
Enumeration date
02/13/2019
Last updated
09/16/2019
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