Individual
MRS. VICKILYNN MAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 E JACKSON ST, MEXICO, MO 65265-2821
(573) 581-3000
Mailing address
3311 SUSAN DR, HANNIBAL, MO 63401-5661
(314) 604-6262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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