Organization
KINGSTON SCHOOL DIST 14
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE WARD (DIRECTOR OF SPECIAL SERVICES)
(573) 438-4982
Entity
Organization
Contact information
Practice address
10047 DIAMOND RD, CADET, MO 63630-9581
(573) 438-4982
(573) 438-5264
Mailing address
10047 DIAMOND RD, CADET, MO 63630-9581
(573) 438-4982
(573) 438-5264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506101104
—
MO
Enumeration date
04/13/2007
Last updated
03/04/2009
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