Individual
PROMISE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3526 S BRUNSWICK AVE, SPRINGFIELD, MO 65809-4137
(417) 268-0611
Mailing address
3526 S BRUNSWICK AVE, SPRINGFIELD, MO 65809-4137
(417) 268-0611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012035245
MO
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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