Individual
MRS. PAMELA MARIE BYARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2230
Mailing address
14877 LEHMAN RD, FORTUNA, MO 65034-2228
(660) 337-6367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016004145
MO
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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