# PILOT GROVE C-4

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447393475
- **Authorized official:** JANNA LAMMERS (SPECIAL EDUCATION DIRECTOR)
- **Authorized official phone:** (660) 834-4415

## Contact information

- **Practice address:** ATTENTION JANNA LAMMERS, 107 SCHOOL ST, PILOT GROVE, MO 65276-1026
- **Practice address phone:** (660) 834-4415
- **Practice address fax:** (660) 834-4401
- **Mailing address:** 107 SCHOOL ST, ATTENTION JANNA LAMMERS, PILOT GROVE, MO 65276-1026
- **Mailing address phone:** (660) 834-4415
- **Mailing address fax:** (660) 834-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 06/15/2016