JACQUELYN SAMPLE

COLUMBIA, MO
NPI1568509867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  004712)
Enumeration Date2007-01-30
Last Update Date2009-08-07
Business Address
Mrs. JACQUELYN SAMPLE MEd OTRL
300 PORTLAND STREET
COLUMBIA, MO 65202
Phone number: 573-882-3757
Mailing Address
Mrs. JACQUELYN SAMPLE MEd OTRL
300 PORTLAND STREET
COLUMBIA, MO 65202
Phone number: 573-882-3757
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