Individual
MS. TERISSA KAY CURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1286 S HIGHWAY W, ELSBERRY, MO 63343-4039
(573) 213-9446
Mailing address
1286 S HIGHWAY W, ELSBERRY, MO 63343-4039
(573) 213-9446
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
057.004154
IL
222Q00000X
Developmental Therapist
2014034916
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057.004154
ILLINOIS STATE COTA LICENSE
IL
01
—
2014034916
MISSOURI STATE COTA LICENSE
MO
Enumeration date
10/14/2015
Last updated
10/14/2015
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