Individual
MRS. LINDA B EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
101 BOGIE HILLS DR, COLUMBIA, MO 65201-2832
(573) 999-4925
(573) 443-2075
Mailing address
101 BOGIE HILLS DR, COLUMBIA, MO 65201-2832
(573) 999-4925
(573) 443-2075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003704
MO
Other
Enumeration date
01/22/2007
Last updated
07/09/2007
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