Organization
STURGEON R-V SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY FADLER (DISTRICT COORDINATOR)
(573) 687-3515
Entity
Organization
Contact information
Practice address
210 W PATTON ST, STURGEON, MO 65284-9564
(573) 687-3515
(573) 687-2116
Mailing address
210 W PATTON ST, STURGEON, MO 65284-9564
(573) 687-3515
(573) 687-2116
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
—
506109107
—
MO
Enumeration date
02/15/2007
Last updated
06/15/2016
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