Individual
BROOKE ASHLEY UMFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 11470, PATTERSON, MO 63956-8712
(573) 225-7174
Mailing address
RR 1 BOX 11470, PATTERSON, MO 63956-8712
(573) 225-7174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018005494
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397178
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
10/23/2019
Last updated
10/23/2019
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