Individual
MISS KELSEY ELIZABETH RYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
(573) 431-8984
Mailing address
801 BRIM ST, DESLOGE, MO 63601-3441
(573) 431-0223
(573) 431-8984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016023929
MO
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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