Organization
DONIPHAN REORGANIZED SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SLAYTON (ADMINSTRATOR)
(573) 996-3982
Entity
Organization
Contact information
Practice address
603 E SUMMIT ST, DONIPHAN, MO 63935-1142
(573) 996-3982
(573) 996-2763
Mailing address
603 E SUMMIT ST, DONIPHAN, MO 63935-1142
(573) 996-3982
(573) 996-2763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
111784
MO
235Z00000X
Speech-Language Pathologist
2002000259
MO
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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