Individual
SUSAN E SOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1717 E 15TH ST, JOPLIN, MO 64804-0907
(417) 625-5290
(417) 625-5297
Mailing address
1717 E 15TH ST, JOPLIN, MO 64804-0907
(417) 625-5290
(417) 625-5297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003316
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003316
MO BOARD OF OT
MO
Enumeration date
01/25/2007
Last updated
07/08/2007
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