Individual
BREANNA RAE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34254 ROCK HOUSE RD, CALIFORNIA, MO 65018
(573) 694-4454
Mailing address
PO BOX 361, CALIFORNIA, MO 65018-0361
(573) 694-4454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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