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Individual

MR. LARRY LESTER WOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S

Contact information

Practice address
4801 E LINWOOD BLVD, RECREATION THERAPY 135, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
346 E FRAZIER ST, DREXEL, MO 64742-8223
(816) 657-4667

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
07/19/2006
Last updated
07/08/2007
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