Individual
BREANNA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 N 25TH ST, OZARK, MO 65721-8033
(417) 581-1234
Mailing address
850 N 25TH ST, OZARK, MO 65721-8033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
04/03/2019
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