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1174192140
CARRIE JO TYSON
BLUE SPRINGS, MO
NPI
1174192140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0019X Occupational Therapist Physical Rehabilitation
(Licence: MO 2010025842)
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
CARRIE JO TYSON OTR
111 NW MOCK AVE
BLUE SPRINGS, MO 64014-2503
Phone number: 816-220-4247
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Mailing Address
CARRIE JO TYSON OTR
23543 W 74TH ST
SHAWNEE, KS 66227-5518
Phone number: 785-215-1896
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