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Individual

LINDA MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
946 E. REED ST, HAYTI, MO 63851
(573) 359-3459
Mailing address
300 DUCKY LN, DYERSBURG, TN 38024-7426
(731) 377-9581

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2006034224
OT LICENSE FOR MO
MO
01
3224
LICENSE #
TN
Enumeration date
08/20/2006
Last updated
07/08/2007
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