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Organization
CITY OF RENICK REORGANIZED SCH
Active
Organization
CITY OF RENICK REORGANIZED SCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA LEWIS (SUPERINTENDENT)
(660) 263-4886
Entity
Organization
Contact information
Practice address
101 MIDDLE STREET, RENICK, MO 65278
(660) 263-4886
(660) 263-4249
Mailing address
PO BOX 37, BUS HWY 63 SOUTH, RENICK, MO 65278-0037
(660) 263-4886
(660) 263-4249
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
02/15/2007
Last updated
06/15/2016
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