Individual
CHENOA AMILL JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
615 RANCHO LN, FLORISSANT, MO 63031-1717
(314) 839-2150
Mailing address
10226 GREEN VALLEY DR, SAINT LOUIS, MO 63136-3231
(206) 551-5969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011008730
MO
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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