Individual
MS. JILL E PEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5400 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-2594
(636) 922-7600
Mailing address
1118 LAKESHORE DR, SAINT CHARLES, MO 63303-2126
(636) 795-4433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012018274
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
MO 4553
—
05
—
224Z00000X
—
MO
Enumeration date
07/17/2018
Last updated
07/17/2018
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