Individual
MRS. JENNIFER MASSIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 633-5300
Mailing address
12856 HAW THICKET LN, SAINT LOUIS, MO 63131-2132
(314) 821-1953
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
118744
MO
Other
Enumeration date
06/30/2021
Last updated
11/07/2024
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