Individual
MARILYN J SUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SCHOOL DIST R-1 ELDON, 112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080
Mailing address
112 S PINE ST, ELDON, MO 65026-1581
(573) 392-8003
(573) 392-8080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004524
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474764610
—
MO
Enumeration date
04/27/2007
Last updated
02/20/2009
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