Individual
ALISHA ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 ASHLAND STREET, NEVADA, MO 64772
(417) 667-5064
Mailing address
ROUTE 3 BOX 192, NEVADA, MO 64772
(417) 667-7700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006016648
MO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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