| NPI | 1952578619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN DAVIDSON Owner 417-619-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2003020265) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |