Individual
GENA K RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR L
Contact information
Practice address
1132 ELMONT RD, SULLIVAN CONSOLIDATED DISTRICT NO 2, SULLIVAN, MO 63080-1039
(573) 468-5174
(573) 468-5196
Mailing address
1132 ELMONT RD, SULLIVAN, MO 63080-1039
(573) 468-5174
(573) 468-5196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2006026901
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477590004
—
MO
Enumeration date
03/23/2007
Last updated
02/20/2009
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