Individual
JAYANT V MAHURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2610 OZARK AVE, JOPLIN, MO 64804-3182
(417) 659-9948
(417) 659-8800
Mailing address
2610 OZARK AVE, JOPLIN, MO 64804-3182
(417) 659-9948
(417) 659-8800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004581
MO
225X00000X
Occupational Therapist
989520
KS
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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