Individual
MARY HULSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
126 W SPRINGFIELD RD, SULLIVAN, MO 63080-1524
(573) 468-4900
(573) 468-4901
Mailing address
PO BOX 67, SULLIVAN, MO 63080-0067
(314) 606-4485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012041098
MO
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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