Individual
MS. LAURA ANN TULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
218 E SHELBINA AVE, SHELBINA, MO 63468-4328
(573) 588-0187
(573) 588-0187
Mailing address
3120 COUNTY ROAD 244, MONROE CITY, MO 63456-2339
(314) 398-1188
(573) 588-0187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20000161702
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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