Individual
LAURA J JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
5300 N ILLINOIS, FAIRVIEW HEIGHTS, IL 62208-2700
(618) 624-9300
(618) 307-3435
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-4225
(636) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001960
IA
Other
Enumeration date
07/23/2009
Last updated
06/02/2020
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