Individual
CAROLYN MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
223 SOUTH JEFFERSON STREET, AVA, MO 65608
(417) 581-1234
Mailing address
RR 2 BOX 2761, SEYMOUR, MO 65746-9314
(812) 686-8683
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.009070
IL
225X00000X
Occupational Therapist
Primary
2011016662
MO
Other
Enumeration date
02/13/2018
Last updated
06/16/2018
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