Individual
ELIZABETH A FELTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
BLACKWATER R-II, 300 DODRIDGE, BLACKWATER, MO 65322-0117
(660) 846-2461
(660) 846-2431
Mailing address
PO BOX 117, 300 DODRIDGE, BLACKWATER, MO 65322-0117
(660) 846-2461
(660) 846-2431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000311
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476814512
—
MO
Enumeration date
04/23/2007
Last updated
02/20/2009
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