Individual
ALEXIS DIANE HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
PO BOX 480, JEFFERSON CITY, MO 65102-0480
(573) 225-4294
Mailing address
376 BELLA VISTA DR, JACKSON, MO 63755-7857
(573) 225-4294
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2025006726
MO
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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