| NPI | 1477540102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOUISE GALLATIN Occupational Therapist Member 573-634-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 000324) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |