Individual
JESSICA PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 FAIRGROUNDS RD, JEFFERSON CITY, MO 65109-5443
(573) 659-3175
Mailing address
2329 KNIGHT VALLEY DR, JEFFERSON CITY, MO 65101-2252
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015024112
MO
Other
Enumeration date
10/13/2015
Last updated
11/18/2016
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