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Individual

JODY DIANE HOWDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
THERAPIST ASSISTANT

Contact information

Practice address
2800 S FORT AVE, SPRINGFIELD, MO 65807
(417) 882-0035
(417) 882-0103
Mailing address
3238 WEST GREENWOOD APT B, SPRING FIELD, MO 65807
(417) 885-8019

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004729
MO

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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