Healthcare Provider Details

I. General information

NPI: 1427828680
Provider Name (Legal Business Name): ABIGAIL JASPER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3488 JEFFCO BLVD STE 102
ARNOLD MO
63010-6015
US

IV. Provider business mailing address

745 JEFFCO BLVD
ARNOLD MO
63010-1432
US

V. Phone/Fax

Practice location:
  • Phone: 636-464-5439
  • Fax: 636-464-5438
Mailing address:
  • Phone: 636-296-8000
  • Fax: 636-282-5170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2024000376
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2024000376
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: