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Organization

NORTHWESTERN R-I SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA D GLADBACH (DISTRICT COORDINATOR)
(660) 272-3201
Entity
Organization

Contact information

Practice address
18475 HWY 11, NORTHWESTERN R-I SCHOOL, MENDON, MO 64660-0043
(660) 272-3201
(660) 272-3419
Mailing address
PO BOX 43, 18475 HWY 11, MENDON, MO 64660-0043
(660) 272-3201
(660) 272-3419

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506083005
MO
Enumeration date
03/22/2007
Last updated
07/06/2015
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