Individual
JESSICA MABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
Mailing address
4815 N 9TH ST, OZARK, MO 65721-9177
(417) 893-8921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022026002
MO
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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