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Individual

JUDY L HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 BROADRIDGE DR, JACKSON, MO 63755-3042
(573) 243-3101
Mailing address
1633 HIGHWAY J, WRIGHT CITY, MO 63390-1629
(636) 745-8490

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003277
MO

Other

Enumeration date
06/24/2010
Last updated
06/24/2010
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