Individual
HANNAH BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
636 N MAIN AVE, REPUBLIC, MO 65738-1083
(417) 732-3605
Mailing address
636 N MAIN AVE, REPUBLIC, MO 65738-1083
(417) 732-3605
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2015031158
MO
Other
Enumeration date
10/28/2015
Last updated
11/06/2024
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