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Contact Information

JENNIFER L UTTERBACK
6000 HOSPITAL DRIVE
HANNIBAL REGIONAL HOSPITAL
HANNIBAL, MO63401
 Phone: 573-248-5346
 Fax: 573-248-5364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER L UTTERBACK · (Female)

NPI Number 1104988260
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2006
Last updated 11/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2002018271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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