Individual
JENNIFER LEE STICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
(573) 472-0409
Mailing address
3235 PCR 438, FROHNA, MO 63748-8176
(573) 517-1715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004022321
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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