Individual
MRS. MARYANGELA NAFULA WAFULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS OTR/L
Contact information
Practice address
1801 TOWNE DR, COLUMBIA, MO 65202-2337
(573) 474-6111
Mailing address
901 COLGATE, COLUMBIA, MO 65203-1817
(573) 446-4112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003499
MO
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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