Individual
MRS. LOLA ANNE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
Mailing address
869 BUTTERFIELD VILLAGE LN, FARMINGTON, MO 63640-7849
(573) 631-9331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012022182
MO
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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