Organization
SCHOOL DISTRICT C-1 OF LEWIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE FLANAGAN (SPECIAL SERVICES DIRECTOR)
(573) 209-3217
Entity
Organization
Contact information
Practice address
105 N CLARK, EWING, MO 63440
(573) 209-3217
(573) 209-3318
Mailing address
PO BOX 366, EWING, MO 63440-0366
(573) 209-3217
(573) 209-3318
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
—
506101302
—
MO
Enumeration date
02/09/2007
Last updated
06/14/2016
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