Individual
MISS JENNY L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1044 POPLAR DR, SAINT LOUIS, MO 63125-5022
(314) 742-0330
Mailing address
1044 POPLAR DR, SAINT LOUIS, MO 63125-5022
(314) 742-0330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008026459
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
2008026459
MO
Other
Enumeration date
09/16/2008
Last updated
08/04/2022
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