Organization
OSAGE CO R-II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINA HENDERSON (DIRECTOR OF SPECIAL EDUCATION)
(573) 897-4200
Entity
Organization
Contact information
Practice address
1212 E MAIN ST, LINN, MO 65051-2504
(573) 897-4200
(573) 897-3768
Mailing address
1212 E MAIN ST, LINN, MO 65051-2504
(573) 897-4200
(573) 897-3768
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
—
506078708
—
MO
Enumeration date
04/13/2007
Last updated
06/15/2016
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