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Individual

EMILY MICHELLE WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1545 E PYTHIAN ST, SPRINGFIELD, MO 65802-2139
(417) 829-0800
Mailing address
312 N RICHARDS CASTLE DR, NIXA, MO 65714-9118
(314) 707-7052

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018003229
MO

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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