Individual
ANDREA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1301 E SUNSHINE ST, SPRINGFIELD, MO 65804-1143
(417) 889-4800
(270) 215-4834
Mailing address
1301 E SUNSHINE ST, SPRINGFIELD, MO 65804-1143
(417) 889-4800
(270) 215-4834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020023044
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020023044
STATE LICENSE
MO
Enumeration date
07/23/2020
Last updated
07/23/2020
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