Jennifer L Codutti ATC

NPI 1073829156 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1073829156
Gender Female
Enumeration Date 08/26/2010
Last Updated 08/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
4331 S FREMONT AVE
SPRINGFIELD MO, 65804-7328, US
Phone (417) 820-5010
Fax
Business Location
4331 S FREMONT AVE
SPRINGFIELD MO, 65804-7328, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Missouri
License Number 2006026947
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According to our database, Mrs. Jennifer L Codutti ATC NPI is 1073829156, taxonomy code is 2255A2300X and license number is 2006026947, license state is located at Missouri. Jennifer L Codutti ATC physically located at 4331 S Fremont Ave, Springfield MO, 65804-7328. NPI Number Jennifer L Codutti ATC has the Individual type.

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1073829156 NPI number is provided on an as is basis without warranty of any kind. 1073829156 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer L Codutti ATC are for informational purposes only.