Individual
LENA STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1972 BRIARWOOD DR, CAPE GIRARDEAU, MO 63701-2504
(573) 651-1835
Mailing address
1972 BRIARWOOD, CAPE GIRARDEAU, MO 63701
(573) 651-1835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005434
MO
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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