Individual
JAMI OTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-4918
(573) 893-3063
Mailing address
6526 HANSEN TER, JEFFERSON CITY, MO 65109-3295
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002019598
MO
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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