| NPI | 1366106601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ELLEN SHALLENBURGER Occupational Therapist 417-438-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |