Jennifer Rae Segerstrom MSPT

NPI 1336284777 - Physical Therapist - 225100000X

NPI Details
NPI 1336284777
Gender Female
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1125 MADISON ST
JEFFERSON CITY MO, 65101-5227, US
Phone (573) 632-5440
Fax
Business Location
1309 HERITAGE HL
JEFFERSON CITY MO, 65101-3654, US
Phone (573) 893-6548
Fax
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 1999141383
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According to our database, Mrs. Jennifer Rae Segerstrom MSPT NPI is 1336284777, taxonomy code is 225100000X and license number is 1999141383, license state is located at Missouri. Jennifer Rae Segerstrom MSPT physically located at 1125 Madison St, Jefferson City MO, 65101-5227. NPI Number Jennifer Rae Segerstrom MSPT has the Individual type.

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1336284777 NPI number is provided on an as is basis without warranty of any kind. 1336284777 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Rae Segerstrom MSPT are for informational purposes only.