Individual
MRS. JAIME E LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 KENTUCKY AVE, WEST PLAINS, MO 65775
(417) 257-5959
(417) 257-5814
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775
(417) 257-5959
(417) 257-5814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013026311
MO
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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