Individual
TYLER THOMAS EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013026950
MO
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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