Individual
JODI OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC
Contact information
Practice address
10435 CLAYTON RD, SUITE 120, FRONTENAC, MO 63131-2909
(314) 985-3002
(314) 985-3012
Mailing address
777 S NEW BALLAS RD, STE. 116E, SAINT LOUIS, MO 63141-8705
(314) 985-3002
(314) 985-3012
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
118132
MO
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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