Individual
MISS LOREN D. REUTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5346
(573) 248-5364
Mailing address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(573) 248-5346
(573) 248-5364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.003518
IL
224Z00000X
Occupational Therapy Assistant
Primary
2011039837
MO
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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