Individual
ALLYSON WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E PYTHIAN ST, SPRINGFIELD, MO 65802-2141
(417) 895-6848
Mailing address
2932 S CHAMBERY AVE, SPRINGFIELD, MO 65804-3938
(417) 496-6566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003018186
MO
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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