Individual
SHELLY RENEE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
211 DAVIS DR, WEST PLAINS, MO 65775-2242
(471) 256-0798
Mailing address
HC 73 BOX 4975, DRURY, MO 65638
(513) 594-9636
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018005580
MO
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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