Organization
HEARTLAND EXECUTIVE FUNCTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON B TSUBIRA OT (OCCUPATIONAL THERAPIST)
(417) 551-3806
Entity
Organization
Contact information
Practice address
2321 S PATTERSON AVE, JOPLIN, MO 64804-2464
(417) 551-3806
Mailing address
2321 S PATTERSON AVE, JOPLIN, MO 64804-2464
(417) 551-3806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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