Organization
AURORA R-VIII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA K LAKIN (DIRECTOR OF SPECIAL SERVICES)
(417) 678-7742
Entity
Organization
Contact information
Practice address
201 S MADISON AVE, AURORA, MO 65605-1428
(417) 678-3373
(417) 678-4043
Mailing address
201 S MADISON AVE, AURORA, MO 65605-1428
(417) 678-3373
(417) 678-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506073501
—
MO
Enumeration date
02/06/2007
Last updated
07/21/2016
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