Individual
MALLORY RUTH HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4586 S 116TH RD, BOLIVAR, MO 65613-8547
(417) 326-2466
Mailing address
1117 S CLIFTON AVE, SPRINGFIELD, MO 65802-7788
(660) 322-0618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2023002239
MO
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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