Individual
JESSICA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4218 N GRAND BLVD, SAINT LOUIS, MO 63107-1806
(314) 534-6624
Mailing address
4218 N GRAND BLVD, SAINT LOUIS, MO 63107-1806
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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