Individual
TIM LOUKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
423 W PINE ST, HOUSTON, MO 65483-1147
(417) 967-3196
Mailing address
210 N AIRPORT RD, HOUSTON, MO 65483-1002
(303) 350-0104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015038144
MO
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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