Individual
COURTNEY LEE VAN ALSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S 3RD ST, ODESSA, MO 64076-1453
(816) 633-5316
Mailing address
1207 S 9TH ST, CLINTON, MO 64735-3038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015024726
MO
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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