Organization
JAMES SCOTT WILEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SCOTT WILEY COTA (OCCUPATIONAL THERAPY ASSISTANT)
(512) 560-2769
Entity
Organization
Contact information
Practice address
210 DAVIS DR, WEST PLAINS, MO 65775-2241
(417) 256-2152
Mailing address
7116 COUNTY ROAD 3730, PEACE VALLEY, MO 65788-9780
(512) 560-2769
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2014035221
MO
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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