Individual
CINDY UNDERWOOD-MORTRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S HENRY CLAY BLVD, ASHLAND, MO 65010-9439
(800) 804-9961
Mailing address
1215 QUAIL HAVEN DR, MOBERLY, MO 65270-3830
(360) 731-4594
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020014765
MO
224Z00000X
Occupational Therapy Assistant
216292
TX
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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