Individual
MR. RICHARD JOSEPH PANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CHT
Contact information
Practice address
902 WEST BATTLEFIELD RD, SPRINGFIELD, MO 65807
(417) 771-5515
(417) 771-5998
Mailing address
5156 WHITETAIL RIDGE LN., BROOKLINE, MO 65619
(417) 268-7281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004196
MO
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
1051100152
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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