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Individual

MRS. RANDI LEE DIRNBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3120 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5043
(573) 240-8846
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014004051
MO

Other

Enumeration date
06/12/2017
Last updated
06/12/2017
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