Individual
SUBASHINI SUNDRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
204 SEMINARY ST., WARSAW, MO 65355-0338
(660) 438-6993
Mailing address
22869 FEASTER BRANCH RD, WARSAW, MO 65355-4229
(660) 428-2321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004255
MO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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