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Individual

LINSEY ECKLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 851-1551
(417) 865-3479
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 851-1551
(417) 865-3479

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020005480
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139590145
MEDICARE
MO
05
470080255
MO
Enumeration date
02/06/2020
Last updated
04/13/2023
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