Organization
LIVINGSTON CO. R-III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LITTRELL (PRINCIPAL)
(660) 639-3135
Entity
Organization
Contact information
Practice address
205 WAITE ST, CHULA, MO 64635-8273
(660) 639-3135
(660) 393-2171
Mailing address
PO BOX 40, 205 WAITE STREET, CHULA, MO 64635-0040
(660) 639-3135
(660) 393-2171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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