Individual
EMILY ANN SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-7729
(515) 433-0701
Mailing address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-7729
(515) 433-0701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000841
IA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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