Individual
JESSICA MARIE NICOLAESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
311 FOX CREEK RD, JEFFERSON CITY, MO 65109-1111
(573) 634-3070
(573) 636-3247
Mailing address
311 FOX CREEK RD, JEFFERSON CITY, MO 65109-1111
(573) 634-3070
(573) 636-3247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013026452
MO
Other
Enumeration date
08/29/2013
Last updated
03/31/2017
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