Individual
MRS. MURIAH LYNN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
363 ROUTE WW, SOUTH GREENFIELD, MO 65752-7167
(417) 452-2137
Mailing address
363 ROUTE WW, SOUTH GREENFLD, MO 65752
(417) 619-6081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2008017410
MO
Other
Enumeration date
01/20/2009
Last updated
12/11/2012
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