Organization
NORTH WOOD SCHOOL DISTRICT R 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS STACY (DISTRICT COORDINATOR)
(573) 729-4607
Entity
Organization
Contact information
Practice address
3734 N HIGHWAY 19, SALEM, MO 65560-8056
(573) 729-4607
(573) 729-8714
Mailing address
3734 N HIGHWAY 19, SALEM, MO 65560-8056
(573) 729-4607
(573) 729-8714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
06/14/2016
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