Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics | 2008005863 | MO |
NPI | 1386813939 |
---|---|
Provider Name | Miss Carrie Lynn Jost |
First Address | Saint Peters, MO 63304-2814 |
Second Address | Saint Peters, MO 63304-2814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 17/01/2014 |