Individual
JESSICA STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-4225
Mailing address
4273 KEATON CROSSING BLVD, O FALLON, MO 63368-8220
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021021501
MO
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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