Organization
OAK GROVE R-6 SCHOOL DISTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BERRY (DISTRICT COORDINATOR)
(816) 690-4156
Entity
Organization
Contact information
Practice address
1305 SE SALEM ST, OAK GROVE, MO 64075-7044
(816) 690-4156
(816) 690-3031
Mailing address
601 SE 12TH ST, OAK GROVE, MO 64075-9392
(816) 690-4156
(816) 690-3031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506109008
—
MO
Enumeration date
09/27/2007
Last updated
06/14/2016
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