Organization
REORGANIZED SCHOOL DISTRICT NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH MARRIOTT (DIRECTOR)
(660) 882-7474
Entity
Organization
Contact information
Practice address
736 MAIN ST, BOONVILLE, MO 65233-1656
(660) 882-7474
(660) 882-5721
Mailing address
736 MAIN ST, BOONVILLE, MO 65233-1656
(660) 882-7474
(660) 882-5721
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
—
506073907
—
MO
Enumeration date
02/06/2007
Last updated
06/13/2016
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