Individual
MRS. HALEY OGNENOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 LONG ST, MENDON, MO 64660-8108
(660) 734-8146
Mailing address
401 LONG ST, MENDON, MO 64660-8108
(660) 734-8146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014001724
MO
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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