Individual
MS. VIVIAN THERESA CALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2011 CORONIA RD., COLUMBIA, MO 65203
(314) 543-3860
Mailing address
2011 CORONIA RD., COLUMBIA, MO 65203
(314) 543-3860
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005111
MO
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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