| NPI | 1740916451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MCCOLLOUGH Member Manager 417-684-7415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2024-04-24 |