Individual
AMY ELIZABETH DRAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Mailing address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009036106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009036106
CERTIFICATE/LICENSE
MO
Enumeration date
12/05/2011
Last updated
12/05/2011
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