Individual
COLLEEN NICHOLE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
783 WEBER RD, FARMINGTON, MO 63640-3318
(573) 756-8998
Mailing address
807 TWIN OAK DR, HILLSBORO, MO 63050-5069
(314) 630-6247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019008317
MO
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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