Individual
LANA D ANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
301 S MAIN ST, NIXA, MO 65714-5303
(471) 724-6200
Mailing address
873 E EMERALD TER, NIXA, MO 65714-9457
(417) 380-2401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012026420
MO
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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