Individual
BRITNEY ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2235 TENBRINK DR, ROLLA, MO 65401-2405
(573) 202-2713
(573) 426-3610
Mailing address
2235 TENBRINK DR, ROLLA, MO 65401-2405
(573) 202-2713
(573) 426-3610
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
2013032213
MO
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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