Individual
MS. MERLA DIESTA DEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
620 N JEFFERSON ST, SAINT JAMES, MO 65559-1926
(573) 265-3271
(573) 265-5771
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
(660) 438-6993
(660) 438-6943
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2002012789
MO
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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