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Individual

ELENA CHONG RIETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
1887 N STATE HIGHWAY CC, NIXA, MO 65714-8015
(417) 725-5774
(417) 725-5915
Mailing address
1754 E LAFAYETTE CT, SPRINGFIELD, MO 65804-7477
(417) 823-4906

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004007
MO

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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