| NPI | 1053624155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISA G PURSELL Manager 573-587-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2002014370) |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-07-17 |