Organization
MARIONVILLE REORGANIZED DIST 9
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SALKILL (SPECIAL SERVICES SECRETARY)
(417) 258-2387
Entity
Organization
Contact information
Practice address
COLLEGE AND DELL, MARIONVILLE, MO 65705-0409
(417) 258-2387
(417) 258-2564
Mailing address
PO BOX 409, MARIONVILLE, MO 65705-0409
(417) 258-2387
(417) 258-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506142504
—
MO
Enumeration date
02/09/2007
Last updated
06/14/2016
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