Organization
OUTLANDER OCCUPATIONAL THEARPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JO BOREN OTR/L (OWNER)
(240) 310-8468
Entity
Organization
Contact information
Practice address
3201 KAGE RD, CAPE GIRARDEAU, MO 63701-2107
(240) 310-8468
Mailing address
3201 KAGE RD, CAPE GIRARDEAU, MO 63701-2107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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