Individual
JIANNA D. FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD/L
Contact information
Practice address
8506 ANNA AVE, SAINT LOUIS, MO 63114-5205
(314) 265-3819
Mailing address
3407 S JEFFERSON AVE # 145, SAINT LOUIS, MO 63118-3119
(314) 265-3819
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7041
AZ
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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