Individual
JENNIFER MCMINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, PTA
Contact information
Practice address
450 E SIGLER AVE, MEMPHIS, MO 63555-1726
(660) 465-8513
(660) 465-2365
Mailing address
450 E SIGLER AVE, MEMPHIS, MO 63555-1726
(660) 465-8513
(660) 465-2365
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
119516
MO
225X00000X
Occupational Therapist
Primary
2008019679
MO
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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