Organization
COMMUNITY CARE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY WYANT (CLINICAL DIRECTOR)
(660) 327-1402
Entity
Organization
Contact information
Practice address
23835 HIGHWAY 24, PARIS, MO 65275-2276
(660) 327-1402
(660) 327-1403
Mailing address
23835 HIGHWAY 24, PARIS, MO 65275-2276
(660) 327-1402
(660) 327-1403
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/26/2006
Last updated
09/11/2025
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