Individual
HALLIE DEW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2017 W WOODLAND ST, SPRINGFIELD, MO 65807-5913
(417) 889-4800
Mailing address
2017 W WOODLAND ST, SPRINGFIELD, MO 65807-5913
(417) 889-4800
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
00001576
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2018032487
MO
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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