Individual
ADRIENNE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 725-8250
Mailing address
105 S RIDGECREST AVE, NIXA, MO 65714-7807
(417) 725-8250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008013379
MO
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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