-- CHENOA AMILL JETER -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1699048165- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 615 RANCHO LN, FLORISSANT, MO, 630311717
- Phone
- (314) 839-2150
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: MO #2011008730