MAE SHELL JUGALBOT LEPASANA

JOPLIN, MO
NPI1669762381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2010035345)
Enumeration Date2011-04-14
Last Update Date2011-04-14
Business Address
-- MAE SHELL JUGALBOT LEPASANA OTR
214 W 5TH ST STE D&E
JOPLIN, MO 64801-2598
Phone number: 417-782-2917
Mailing Address
-- MAE SHELL JUGALBOT LEPASANA OTR
214 W 5TH ST STE D&E
JOPLIN, MO 64801-2598
Phone number: 417-782-2917