Individual
EMILDA LILY PINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2981 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 712-2280
(573) 778-9589
Mailing address
P.O. BOX 3, POPLAR BLUFF, MO 63902-4008
(573) 712-2280
(573) 778-9589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457889507
—
MO
Enumeration date
01/31/2012
Last updated
01/31/2012
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