STACEY DIANN CHILDERS-TEEPLE

WEST PLAINS, MO
NPI1124051495
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2001033005)
Enumeration Date2006-07-09
Last Update Date2007-07-08
Business Address
MRS. STACEY DIANN CHILDERS-TEEPLE OTR/L
1480 8TH ST
WEST PLAINS, MO 65775-2010
Phone number: 417-256-5669
Mailing Address
MRS. STACEY DIANN CHILDERS-TEEPLE OTR/L
RR 2 BOX 2445
DORA, MO 65637-9306
Phone number: 417-261-2210