Individual
EMILY VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
188A MEDICAL DR, HANNIBAL, MO 63401-6877
(217) 222-6800
Mailing address
188A MEDICAL DR, HANNIBAL, MO 63401-6877
(217) 222-6800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020034596
MO
Other
Enumeration date
11/11/2020
Last updated
10/14/2021
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