Individual
MAYCE OLIVIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
5585 W PECAN ST, SPRINGFIELD, MO 65802-7846
(417) 280-5705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022002427
MO
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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