Individual
PEGGY LYNN HENDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
407 W PHYLLIS AVE, COLUMBIA, MO 65202-1439
(573) 875-0160
Mailing address
407 W PHYLLIS AVE, COLUMBIA, MO 65202-1439
(573) 875-0160
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000409
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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