Individual
FORTUNATO ALIPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
320 HIDDEN MEADOWS DR, JACKSON, MO 63755-3274
(573) 450-9652
Mailing address
320 HIDDEN MEADOWS DR, JACKSON, MO 63755-3274
(573) 450-9652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003761
MO
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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