Individual
JACQUELINE FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
202 E MILL ST, HUMANSVILLE, MO 65674-8507
(417) 754-1601
Mailing address
206 W LEE ST, BUTLER, MO 64730-1130
(660) 227-9007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003149
MO
224Z00000X
Occupational Therapy Assistant
1517
CA
224Z00000X
Occupational Therapy Assistant
210437
TX
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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