Individual
MS. MARY CARMEL ELIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
214 W 5TH ST, SUITES D AND E, JOPLIN, MO 64801-2501
(417) 782-2917
(417) 782-7038
Mailing address
214 W 5TH ST, SUITES D AND E, JOPLIN, MO 64801-2501
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004014250
MO
225X00000X
Occupational Therapist
OTR2089
AR
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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