TERESA CHRISTINA WAGGONER

JOPLIN, MO
NPI1053627075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2010019101)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
Mrs. TERESA CHRISTINA WAGGONER COTA/L
201 S NORTHPARK LN
JOPLIN, MO 64801-8426
Phone number: 417-623-4313
Mailing Address
Mrs. TERESA CHRISTINA WAGGONER COTA/L
201 S NORTHPARK LN
JOPLIN, MO 64801-8426
Phone number: 417-623-4313
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