ELLEN LEIGH THEIS

MEXICO, MO
NPI1588330377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  20160005931)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
-- ELLEN LEIGH THEIS COTA/L
1 VETERANS WAY
MEXICO, MO 65265-3379
Phone number: 573-567-8278
Mailing Address
-- ELLEN LEIGH THEIS COTA/L
6366 HIGHWAY P
CLARK, MO 65243-3542
Phone number: 660-833-8791
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