Individual
JANET C ANCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1706 PROSPECT DR, SUITE B, MACON, MO 63552-2615
(660) 385-6540
(660) 385-6542
Mailing address
34333 KESTREL AVE, MACON, MO 63552-4935
(660) 385-1904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004405
MO
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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