Individual
BOBBI MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5410 E BONNIE RD, WALTONVILLE, IL 62894-3401
(618) 327-6073
Mailing address
5410 E BONNIE RD, WALTONVILLE, IL 62894-3401
(618) 327-6073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013027245
MO
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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