| NPI | 1215924717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CECILE COMSTOCK Owner/Therapist 417-540-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 002005) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK OT 260) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-02-14 |