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Individual

TRIXY LAZARO YPIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
214 W 5TH ST, STE DE, JOPLIN, MO 64801-2501
(417) 782-2917
Mailing address
214 W 5TH ST, STE DE, JOPLIN, MO 64801-2501
(417) 782-2917

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1470
OK
225X00000X
Occupational Therapist
Primary
2005005793
MO
225X00000X
Occupational Therapist
8607
CA

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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