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Organization
LEXINGTON SCHOOL DIXT RV
Active
Organization
LEXINGTON SCHOOL DIXT RV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY S NORBERG (DISTRICT COORDINATOR)
(660) 259-4369
Entity
Organization
Contact information
Practice address
2323A HIGH SCHOOL DRIVE, LEXINGTON, MO 64067-1499
(660) 259-4369
(660) 259-4992
Mailing address
2323A HIGH SCHOOL DRIVE, LEXINGTON, MO 64067-1499
(660) 259-4369
(660) 259-4992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
NULL
Other
Enumeration date
02/21/2007
Last updated
06/14/2016
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