Individual
BRITTANY EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 E BUFFALO ST, BOLIVAR, MO 65613-2621
(256) 283-3258
Mailing address
702 E BUFFALO ST, BOLIVAR, MO 65613-2621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014017968
MO
225XP0200X
Pediatric Occupational Therapist
2014017968
MO
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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