Individual
KAREN CAPISTRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 OSAGE RIDGE RD APT E5, LAKE OZARK, MO 65049-3127
(682) 521-6248
(573) 392-6874
Mailing address
29 OSAGE RIDGE RD APT E5, LAKE OZARK, MO 65049-3127
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005029401
MO
Other
Enumeration date
03/09/2008
Last updated
03/09/2008
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