Individual
MR. RODELIO M RAVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2800 S FORT AVE, SPRINGFIELD, MO 65807-3480
(417) 882-0035
Mailing address
2224 W CANTEBURY ST, SPRINGFIELD, MO 65810-2375
(417) 889-4114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003194
MO
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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